BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SAT-LIFT

    MDR report key: 393026 · Received May 7, 2002

    Report

    Report Number
    1419652-2002-00007
    Event Type
    Malfunction
    Date Received
    May 7, 2002
    Date of Event
    March 26, 2002
    Report Date
    April 29, 2002
    Manufacturer
    PENNER MANUFACTURING
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTS THE RESIDENT WAS BEING HOISTED INTO THE TUB WHEN THE LIFT TOPPLED OVER AND WAS CAUGHT BY THE CAREGIVER. THE CAREGIVER TRIED TO BALANCE THE CHAIR ON THIER RIGHT LEG SUFFERING PAIN IN THEIR RIGHT THIGH AND LOWER BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SAT-LIFT PATIENT LIFT FSA PENNER MANUFACTURING 20XXXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other