BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    P-600 PORTABLE CEILING LIFT

    MDR report key: 4436128 · Received September 23, 2014

    Report

    Report Number
    4436128
    Event Type
    Malfunction
    Date Received
    September 23, 2014
    Date of Event
    August 9, 2014
    Report Date
    August 18, 2014
    Manufacturer
    PRISM MEDICAL SERVICES USA
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MT, US

    Narratives

    Description of Event or Problem · 1

    A PATIENT WAS ATTACHED TO A REPOSITIONING SLING WHICH WAS CONNECTED TO A CEILING MOUNTED PATIENT LIFT.THE UP BUTTON WAS PUSHED ON THE PENDANT CONTROL OF THE LIFT.THE LIFT BEGAN TO RISE AND, WHILE IN THE PROCESS, THE PNEUMATIC TUBING FROM THE PENDANT CONTROL BECAME LODGED UNDER THE STRAP FROM THE PATIENT SLING.WHEN THE FULL WEIGHT OF THE PATIENT WAS ON THE STRAP, IT PINCHED OFF THE PNEUMATIC TUBING FROM THE PENDANT CONTROL, CAUSING THE LIFT TO CONTINUE TO RISE EVEN AFTER THE BUTTON WAS RELEASED.CLINICAL STAFF WAS UNABLE TO REACH THE EMERGENCY STOP DUE TO THE HEIGHT OF THE LIFT.THE LIFT CONTINUED TO RISE UNTIL IT REACHED ITS UPPER LIMIT STOP.THE LIFT TRAVELING FURTHER THAN INTENDED CAUSED THE PATIENT TO FLIP COMPLETELY OVER RATHER THAN THE DESIRED REPOSITION.MANUFACTURER MADE A SITE VISIT AND IS CURRENTLY REVIEWING THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    592808 P-600 PORTABLE CEILING LIFT LIFT, PATIENT FNG PRISM MEDICAL SERVICES USA P-600 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * P-600| CEILING MOUNT PATIENT LIFT. PRISM MEDICAL, MODEL