BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAXI MOVE

    MDR report key: 3913203 · Received June 10, 2014

    Report

    Report Number
    1419652-2014-00155
    Event Type
    Injury
    Date Received
    June 10, 2014
    Date of Event
    May 10, 2014
    Report Date
    May 14, 2014
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ARJOHUNTLEIGH WAS INFORMED ABOUT AN INCIDENT WHERE IT WAS INDICATED THAT THE MAXI MOVE LIFT TIPPED OVER DURING THE PATIENT'S TRANSFER IN SLING FROM THE BED TO THE WHEELCHAIR. FROM THE INFORMATION RECEIVED THE RESIDENT WAS POSITIONING OVER THE WHEELCHAIR BY THE CAREGIVER AND WHEN WAS APPROXIMATELY 10 INCHES OVER THE WHEELCHAIR THE LIFT TIPPED OVER. THE RESIDENT FELL INTO THE WHEELCHAIR AND IT WAS REPORTED THAT THE FACILITY IS UNSURE IF THE RESIDENT HIT HIS HEAD ON THE WALL OR THE LIFT HIT THE RESIDENT. IT WAS INDICATED THAT THE CHASSIS LEGS WERE NOT SPREAD TO THE FULL OPEN POSITION. THE PATIENT INVOLVED IN THE INCIDENT RECEIVED A BUMP ON TOP FRONT OF THE HEAD. NO TREATMENT WAS REQUIRED. MFR - 9681684-2014-00040.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    337341 MAXI MOVE FSA ARJOHUNTLEIGH MAGOG INC KMCLUN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other