BEUDAMED
    FDA Adverse Event Summary report: N

    CARLO

    MDR report key: 3792904 · Received April 11, 2014

    Report

    Report Number
    3001947547-2014-00002
    Date Received
    April 11, 2014
    Date of Event
    March 22, 2014
    Report Date
    April 10, 2014
    Manufacturer
    BEKA-HOSPITEC GMBH
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RECEIVE A REPORT THAT A HANGER BAR FOR A CARLO LIFT BROKE. A RESIDENT FELL AND SUSTAINED A CONTUSION. ON A VISIT TO THE FACILITY ON (B)(6) 2014 A BROKEN HANGER BAR WAS OBSERVED. THE BOLT HOLDING THE PIVOT POINT ON THE HANGER BAR WAS MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    224190 CARLO PATIENT LIFT FSA BEKA-HOSPITEC GMBH 925001000

    Patients

    Seq Age Sex Outcome Treatment
    1 Other