BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PAL PRO-LIFT

    MDR report key: 414296 · Received August 29, 2002

    Report

    Report Number
    MW1026029
    Event Type
    Injury
    Date Received
    August 29, 2002
    Date of Event
    August 18, 2002
    Report Date
    August 29, 2002
    Manufacturer
    SUNRISE MACHINE & TOOL INC.
    Product Code
    FNG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    RESIDENT FAINTED AND LOWERED TO FLOOR BY TWO WITH GAIT BELT, (FRACTURED RIGHT FEMUR). WHEN RAISED FROM FLOOR WITH MECHANICAL LIFT, LIFT TIPPED, RESIDENT HIT HEAD ON WALL (NO INJURY). WHEN LIFT EXAMINED LEG ADJUSTER BAR LOCKING PIN WORN, MAY NOT HAVE BEEN CONTRIBUTORY TO LIFT TIPPING. LEG ADJUSTER FUNCTIONAL. IN A REENACTMENT LEG ADJUSTER BAR LOCKED INTO PLACE, STAFF REPORTED THAT LEG ADJUSTER BAR WAS LOCKED DURING TRANSFER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PAL PRO-LIFT MECHANICAL PATIENT LIFT FNG SUNRISE MACHINE & TOOL INC. PC 350 SRB-6 *

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DAY Hospitalization