BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PAL LIFT

    MDR report key: 315883 · Received January 31, 2001

    Report

    Report Number
    MW4002908
    Event Type
    Injury
    Date Received
    January 31, 2001
    Date of Event
    January 22, 2001
    Report Date
    January 25, 2001
    Manufacturer
    SUNRISE MACHINE AND TOOL, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY WAS USING A PT LIFT (IN THE LONG TERM CARE FACILITY) IN AN ATTEMPT TO LIFT A PT WHEN THE LIFT CARRIAGE LOCATED AT THE END OF THE LIFT BRACKET AND THREADED INTO THE WEIGHT SENSOR, AND THEN SECURED BY A NUT, CAME OUT OF THE THREADED SENSOR CAUSING THE PT TO FALL TO THE FLOOR. IT APPEARED THAT THE NUT THAT PREVENTS THE CARRIAGE FROM COMING UNTHREADED, DURING THE SWIVEL PROCESS FOR PROPER PLACEMENT OF THE PT, CAME LOOSE FROM MULTIPLE USES, CAUSING THE BOLT TO SPIN FREELY. AFTER A PERIOD OF TIME THE THREADED END OF THE BOLT HAD BECOME SO LOOSE THAT IT CAME OUT ENTIRELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3826 PAL LIFT PATIENT LIFT FSA SUNRISE MACHINE AND TOOL, INC. PL250SRB *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening