FDA Adverse Event Summary report: N

ARJO

MDR report key: 306717 · Received November 30, 2000

Report

Report Number
306717
Date Received
November 30, 2000
Date of Event
November 18, 2000
Report Date
November 22, 2000
Manufacturer
ARJO CENTURY INC
Product Code
FSA
Report Source
User Facility report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

WHEN TRANSFERRING PT FROM BED TO CHAIR, THE ARJO MECHANICAL LIFT PAD WHICH ATTACHES TO THE LIFT-BAR DETACHED ON ONE SIDE. (IN TWO PLACES). THIS CAUSED THE PT TO FALL TO THE FLOOR IN SUPINE POSITION. CERTIFIED NURSING ASSISTANTS HAD FOLLOWED PROTOCOL FOR TRANSFER WHEN INCIDENT REVIEWED. SAFETY CHAIR AND OFFICER EXAMINED THE PAD AND FOUND THAT THE PLASTIC ATTACHMENT (WHERE IT HOOKED TO THE TRANSFER BAR) WAS "LOOSE" FITTING. THE SAFETY OFFICER AND DIRECTOR OF NURSING HOME REVIEWED ALL SLING PADS IN THE FACILITY. THE STAFF DEVELOPMENT COORDINATOR WILL RE-EDUCATE STAFF ON ADD'L PRECAUTIONS THAT MAYBE NEEDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARJO MAXI SLING FSA ARJO CENTURY INC * *

Patients

Seq Age Sex Outcome Treatment
1 78 YR