BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI LITE

    MDR report key: 3110562 · Received April 11, 2013

    Report

    Report Number
    1419652-2013-00095
    Event Type
    Malfunction
    Date Received
    April 11, 2013
    Date of Event
    March 25, 2013
    Report Date
    March 26, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    IT
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING THE TRANSFER OF THE PATIENT ON THE BED, THE FLOOR LIFT HANGER BAR FELL DOWN. PATIENT HAD NO INJURIES. THE NURSE HAD THE TRAUMA FOR THE LUMBAR STRETCH. MFR REF NUMBER 9681684-2013-00034.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    156289 MAXI LITE MANUFACTURED FLOOR PASSIVE LIFT FSA ARJOHUNTLEIGH MAGOG INC. KM601098 *

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR