BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VANDER LIFT II

    MDR report key: 3202317 · Received May 20, 2013

    Report

    Report Number
    3202317
    Event Type
    Injury
    Date Received
    May 20, 2013
    Date of Event
    May 11, 2013
    Report Date
    May 20, 2013
    Manufacturer
    VANCARE, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "HAD GOT RESIDENT UP IN SLING ON THE LIFT AND WENT TO TURN HIM TO PUT IN W/C WHEN THE STRAP CAME OFF AND RESIDENT LANDS ON HIS HEAD AND RIGHT SIDE. NO INJURIES NOTED. RESIDENT C/O HEADACHE. INFORMED CNA, NOT RESIDENT."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    223537 VANDER LIFT II MECHINICAL LIFT FSA VANCARE, INC. B450

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR Required Intervention