BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXISKY 600

    MDR report key: 3771242 · Received January 14, 2014

    Report

    Report Number
    1419652-2014-00012
    Event Type
    Malfunction
    Date Received
    January 14, 2014
    Date of Event
    December 31, 2013
    Report Date
    January 2, 2014
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TWO STAFF MEMBERS WERE TRANSFERRING CLIENT FROM THE BED TO A CHAIR. THE SLING WAS SET IN PLACE AND ATTACHED TO THE CEILING LIFT 4 POINT SPREADER BAR. WHEN LIFTING THE CLIENT UP AT APPROXIMATELY 12 INCHES OFF THE BED, THE RING PIN CAME OFF THE PIN AND THE SPREADER BAR DROPPED, FROM THE STRAP. CLIENT DROPPED SAFELY TO THE BED WITH NO INJURIES. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    37906 MAXISKY 600 FSA ARJOHUNTLEIGH MAGOG INC LD10001

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR