BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDI-LIFT

    MDR report key: 3111223 · Received April 19, 2013

    Report

    Report Number
    1419652-2013-00097
    Event Type
    Injury
    Date Received
    April 19, 2013
    Date of Event
    April 2, 2013
    Report Date
    April 3, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS SLUNG USING A MEDIUM COMBI DELUXE SLING AND LIFTED USING A FLOOR LIFT. THREE STAFFS WERE WITH THE PT. ONE AT THE HEAD THAT CHECKED TO MAKE SURE THE STRAPS WERE PROPERLY PLACED, OTHER AT THE FEET THAT DID THE SAME THING AND THE LAST ONE STEERED THE LIFT. BEFORE LIFTED THE RESIDENT, STAFFS HAD CONFIRMED THAT THE STRAPS WERE SECURE. RESIDENT WAS LIFTED OFF THE BED SURFACE TO BE TRANSFERRED IN HIS WHEELCHAIR. WHILE STAFF MOVED THE LIFT, THE RIGHT TOP STRAP HANGED DOWN AND THE RESIDENT FELL KNITTING HIS HEAD. HIS LOWER BACK ENDED UP ACROSS THE LEG OF THE LIFT. MFR REF# 9681684-2013-00036.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    170730 MEDI-LIFT MANUFACTURED FLOOR PASSIVE LIFT FSA ARJOHUNTLEIGH MAGOG INC. 87001001

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Hospitalization