BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 3110555 · Received April 8, 2013

    Report

    Report Number
    1419652-2013-00089
    Event Type
    Malfunction
    Date Received
    April 8, 2013
    Date of Event
    March 26, 2013
    Report Date
    March 27, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    BE
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PATIENT HAS BEEN LIFTED WITH A FLOOR LIFT WHEN THE CLIP FROM THE SLING BROKE. IT BROKE WHEN THE PATIENT WAS HANGING 10 CM ABOVE THE BED. NO ONE WAS INJURED. MFR REF NUMBER 9681684-2013-00031.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144544 MAXI MOVE PASSIVE FLOOR LIFTS FSA ARJOHUNTLEIGH MAGOG INC. KMCSAN

    Patients

    Seq Age Sex Outcome Treatment
    1