BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 2994168 · Received March 4, 2013

    Report

    Report Number
    9611530-2013-00019
    Event Type
    Malfunction
    Date Received
    March 4, 2013
    Date of Event
    February 3, 2013
    Report Date
    February 6, 2013
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY THE MANUFACTURER ARJO HOSPITAL (B)(4) ON BEHALF OF THE IMPORTER (B)(4). ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    DURING A CLIENT TRANSFER TO A WHEELCHAIR, THE LIFT ARM OF A PASSIVE FLOOR LIFT KEPT LOWERING EVEN IF THE HANDSET BUTTON WAS RELEASED. AFTER REMOVING THE LIFT FROM THE WHEELCHAIR, THE LIFT GOT DOWN UNTIL THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    90933 MAXI MOVE PASSIVE FLOOR LIFTS FSA ARJO HOSPITAL EQUIPMENT AB KMBB4HSX2FEU

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR