FDA Adverse Event
Injury
Summary report: N
MAXI MOVE
MDR report key: 3251915
·
Received July 22, 2013
Report
- Report Number
- 1419652-2013-00201
- Event Type
- Injury
- Date Received
- July 22, 2013
- Date of Event
- July 8, 2013
- Report Date
- July 8, 2013
- Manufacturer
- ARJO HOSP EQUIPMENT AB
- Product Code
- FSA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PT WAS BEING LIFTED WITH DISPOSABLE SLING THAT HAD BEEN LAUNDERED. AS SHE WAS BEING RAISED, RIGHT LEG CLIP DETACHED FROM LIFT AND PT FELL ON THE FLOOR. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 340244 | MAXI MOVE | FSA | ARJO HOSP EQUIPMENT AB | MAXI MOVE II |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR |