BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXISKY 440

    MDR report key: 3140163 · Received May 24, 2013

    Report

    Report Number
    1419652-2013-00131
    Event Type
    Malfunction
    Date Received
    May 24, 2013
    Date of Event
    April 29, 2013
    Report Date
    May 6, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LOOP OF THE COMBI SLING APPEARED TO FALL OUT OF THE CLIP AS THE RESIDENT WAS BEING TRANSFERRED WITH THE CEILING LIFT. NO INJURIES REPORTED. REF # 9681684-2013-00050.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    232295 MAXISKY 440 MANUFACTURED PORTABLE CASSETTES FNG ARJOHUNTLEIGH MAGOG INC. LE00001

    Patients

    Seq Age Sex Outcome Treatment
    1