BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAXISKY 600

    MDR report key: 3162307 · Received May 10, 2013

    Report

    Report Number
    1419652-2013-00119
    Event Type
    Injury
    Date Received
    May 10, 2013
    Date of Event
    May 2, 2013
    Report Date
    May 2, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGONG INC
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE RESIDENT WAS BEING TRANSFERRED WITH THE CEILING LIFT FROM THE BED TO A THERAPEUTIC CHAIR. DURING THE TRANSFER, THE CLIP SUPPORTING THE RIGHT UPPER LEG DETACHED AND THE RESIDENT TIPPED BACK TO THE RIGHT HAND SIDE. SHE DROPPED OUT OF THE SLING WITH THE BACK OF HER HEAD HIT THE FRONT EDGE OF THE NIGHT TABLE WHICH CAUSED AN INTENSIVE BLEEDING HEAD WOUND. REF MFR # 9681684-2013-00044.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    209456 MAXISKY 600 MAFNUFACTURED CEILING FIXED CASSETTES FSA ARJOHUNTLEIGH MAGONG INC LD10003

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Hospitalization