FDA Adverse Event Malfunction Summary report: N

OPERA

MDR report key: 3251903 · Received July 22, 2013

Report

Report Number
1419652-2013-00203
Event Type
Malfunction
Date Received
July 22, 2013
Date of Event
July 6, 2013
Report Date
July 8, 2013
Manufacturer
ARJO, MED AB LTD
Product Code
FSA
Product Problem
Yes
Report Source
Distributor report
Reporter Location
MI, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

NURSE WAS PREPARING THE RESIDENT BY PLACING THE SLING UNDER HER AND CONNECTING THE FOUR ATTACH POINTS OF THE SLING. NURSE HAS CHECKED RESIDENT FOR CENTERING IN THE SLING. CHECKED THE SLING HOOKS BY PULLING DOWN ON THEM AND RAISED THE RESIDENT UP TO CLEARING THE BED AND PULLED THE LIFT AWAY WHILE HOLDING THE HANDLE OF THE LIFT. NURSE HAS GRABBED THE HANDLE OF THE HANGER BAR, SET IN THE UPRIGHT POSITION AND PLACED RESIDENT IN THE CHAIR. NURSE TURNED HER BACK AND GRABBED THE HANDLES TO MANEUVER THE LIFT INTO POSITION. RESIDENT THEN TIPPED BACKWARD OUT OF THE SLING HITTING HER HEAD ON THE LIFT. NURSE THEN UNHOOKED THE RESIDENT'S LEGS FROM THE LIFT AND SLING. THE PT SUFFERED A LACERATION TO THE HEAD. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
340243 OPERA FSA ARJO, MED AB LTD UNK

Patients

Seq Age Sex Outcome Treatment
1 88 YR