BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAXI MOVE

    MDR report key: 3854263 · Received May 20, 2014

    Report

    Report Number
    1419652-2014-00136
    Event Type
    Injury
    Date Received
    May 20, 2014
    Date of Event
    April 20, 2014
    Report Date
    April 22, 2014
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ARJOHUNTLEIGH REC'D A CUSTOMER COMPLAINT WHERE IT WAS INDICATED THAT THE RESIDENT WAS INJURED DURING THE TRANSFER WITH MAXI MOVE LIFT AND THE SLING. THE RESIDENT WAS A MALE AND IT WAS REPORTED THAT REC'D A BROKEN FEMUR. THEN THE RESIDENT HAD A SURGERY AND HAD ROD INSERTED. IN ACCORDANCE TO INFO PROVIDED BY THE FACILITY STAFF THE NIGHT BEFORE INJURY THE RESIDENT HAD BEEN TRANSFERRED AND NO ISSUE HAD BEEN NOTICED WITH LIFT OR ANYTHING STRANGE ABOUT THE RESIDENT. "STAFF STATED THAT RESIDENT PREVIOUSLY HAD A LEG SPASM BUT DID NOT NOTICED ANYTHING RELATED TO INJURY." REF MFR # 9681684-2014-00033.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    300623 MAXI MOVE FSA ARJOHUNTLEIGH MAGOG INC. KMCSUN

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Hospitalization