BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 3201867 · Received June 27, 2013

    Report

    Report Number
    1419652-2013-00167
    Event Type
    Malfunction
    Date Received
    June 27, 2013
    Date of Event
    June 13, 2013
    Report Date
    June 13, 2013
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE CAREGIVER WAS TRANSFERRING THE RESIDENT FROM THE BED TO THE WHEELCHAIR. THE RESIDENT HAS A FOOT INJURY SO THE WHEELCHAIR HAS EXTRA PADDING ON THE FOOT REST. SINCE THE WHEELCHAIR HAS EXTRA PADDING. IT MADE POSITIONING THE LIFT DIFFICULT. THE LEGS OF THE LIFT WOULD NOT SPREAD FAR ENOUGH TO ALLOW FOR A SAFE TRANSFER. DURING THE TRANSFER, THE CAREGIVER HAD TO SWING THE RESIDENT INTO POSITION TO ALLOW FOR THE RESIDENT TO LAND IN THE WHEELCHAIR. DURING THE SWING, THE LIFT TOPPLED ONTO THE CAREGIVER. PATIENT NO INJURY OCCURRED. CAREGIVER GOT AN ABRASION AND MINOR CONTUSION TO HEAD. REF MFR NUMBER: 9611530-2013-00065.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    293015 MAXI MOVE FSA ARJO HOSPITAL EQUIPMENT AB KMBB40OSU2FUS

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR