FDA Adverse Event Injury Summary report: N

MAXI MOVE

MDR report key: 4143528 · Received September 3, 2014

Report

Report Number
1419652-2014-00230
Event Type
Injury
Date Received
September 3, 2014
Date of Event
August 7, 2014
Report Date
August 7, 2014
Manufacturer
ARJO MED AB LTD
Product Code
FSA
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

ARJOHUNTLEIGH RECEIVED A CUSTOMER COMPLAINT WHERE IT WAS INDICATED THAT DURING THE PT'S TRANSFER FROM THE WHEELCHAIR TO THE BED, ONE OF THE SLING CLIPS DETACHED FROM THE SPREADER BAR DUE TO INCORRECT SLING INSTALLATION OF THE SLING PROVIDED BY THE CAREGIVER. AS A RESULT, THE PT FELL DOWN AND RECEIVED HEAD TRAUMA BUT NO BLEEDING OR FRACTURE OCCURRED. FROM THE INFORMATION RECEIVED IT WAS INDICATED THAT THE PT'S INJURY WAS NOT SERIOUS AND THAT THE PT WAS HOSPITALIZED ONLY DUE TO OLD AGE AND JUST FOR PREVENTIVE ACTION, WITHOUT ANY TREATMENT OR CONSEQUENCES. IT WAS ALSO INDICATED THAT "THE EVENT WAS NOT RELATED TO PRODUCT DEFICIENCY." MFR REF# 9611530-2014-00067.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
535915 MAXI MOVE FSA ARJO MED AB LTD KRA0300

Patients

Seq Age Sex Outcome Treatment
1 81 YR Hospitalization