BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXI MOVE

    MDR report key: 3820120 · Received May 6, 2014

    Report

    Report Number
    1419652-2014-00124
    Event Type
    Malfunction
    Date Received
    May 6, 2014
    Date of Event
    April 10, 2014
    Report Date
    April 10, 2014
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE CUSTOMER: "THERE WERE NO INJURIES. NURSE WAS MOVING MAXI MOVE AND DPS BAR FELL OFF OF THE MAX MOVE. WHEN ON-SITE THE CARRY BAR WAS ABLE TO COME OFF MACHINE VERY EASILY, DID NOT NEED TO PUSH TO RELEASE." REF # MFR 9611530-2014-00031.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    271848 MAXI MOVE FSA ARJO HOSPITAL EQUIPMENT AB KMBB4OSU2FUS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other