FDA Adverse Event
Injury
Summary report: N
MAXI MOVE
MDR report key: 3030241
·
Received March 28, 2013
Report
- Report Number
- 9611530-2013-00027
- Event Type
- Injury
- Date Received
- March 28, 2013
- Report Date
- February 27, 2013
- Manufacturer
- ARJO HOSPITAL EQUIPMENT AB
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NM, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJO HOSPITAL EQUIPMENT (B)(6).
Description of Event or Problem · 1
THE FLOOR LIFT BATTERY WAS BEING CHARGED IN THE NURSES OFFICE AREA, WHERE ONE OF THE STAFF MEMBERS WAS OVERCOME FROM A GAS AND ADMITTED FOR TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 127383 | MAXI MOVE | MANUFACTURED FLOOR PASSIVE LIFT | FSA | ARJO HOSPITAL EQUIPMENT AB | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization |