BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROFESSIONAL ASSISTANCE LIFT

    MDR report key: 465647 · Received June 12, 2003

    Report

    Report Number
    2132280-2003-00006
    Event Type
    Injury
    Date Received
    June 12, 2003
    Date of Event
    May 15, 2003
    Report Date
    June 12, 2003
    Manufacturer
    SUNRISE MACHINE AND TOOL, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TRANSFERRING PT OUT OF A WHEELCHAIR. THE SLING FAILED. THE PT BROKE A RIB. BECAUSE OF "HEPAA" PARTICULARS ARE RESTRICTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROFESSIONAL ASSISTANCE LIFT PATIENT LIFT FSA SUNRISE MACHINE AND TOOL, INC. PC45054 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA