BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 3221014 · Received July 5, 2013

    Report

    Report Number
    1419652-2013-00180
    Event Type
    Malfunction
    Date Received
    July 5, 2013
    Date of Event
    May 25, 2013
    Report Date
    June 17, 2013
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    WHILE SETTING UP THE MAXIMOVE FLOOR LIFT FOR A TRANSFER, BEFORE ATTACHING THE SLING, THE NURSE BELIEVED THAT THE HANGER BAR WAS LOOSE AND SHOOK THE UNIT (DESCRIBED TO BE A SLIGHT SHAKING). THIS CAUSED THE HANGER BAR ASSEMBLY TO FALL TO THE FLOOR. NO PT INVOLVED. REF MFR REPORT 9611530-2013-00072.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    308185 MAXI MOVE FSA ARJO HOSPITAL EQUIPMENT AB KMBB4OLU2FUS

    Patients

    Seq Age Sex Outcome Treatment
    1