BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 3771241 · Received January 14, 2014

    Report

    Report Number
    1419652-2014-00013
    Event Type
    Malfunction
    Date Received
    January 14, 2014
    Report Date
    December 30, 2013
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING TRANSFER BETWEEN CHAIR TO BED, PATIENT WAS UP ON HER BED IN THE SLING. THE ACTUATOR OF THE POWERED DPS HAD SUDDENLY EXTENDED WITHOUT REASON. THIS MOVEMENT HAD CAUSED THE UNLOCK OF CLIP SLING. PATIENT WAS LEANED AGAINST HER BED DURING INCIDENT AND FELL ON THE BED. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    37908 MAXI MOVE FSA ARJOHUNTLEIGH MAGOG INC KMCSXN-D-00

    Patients

    Seq Age Sex Outcome Treatment
    1