BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARJO MAXI LIFT

    MDR report key: 49875 · Received November 12, 1996

    Report

    Report Number
    1922538-1996-00113
    Event Type
    Other
    Date Received
    November 12, 1996
    Date of Event
    October 16, 1996
    Report Date
    October 25, 1996
    Manufacturer
    ARJO MFG CO.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CNA SAT IN LIFT AFTER MOVING PT BECAUSE IT HAD MADE A STRANGE NOISE, TO CHECK FOR SAFETY. WHEN THE CNA SAT IN THE LIFT AND ANOTHER CNA BEGAN TO OPERATE THE LIFT, THE LIFT CRASHED TO THE FLOOR. NO PT INVOLVED. THE CNA SUFFERED PAIN TO BACK BUT IT IS NOT RESTRICTING AT THIS TIME. ONE PERSON INVOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO MAXI LIFT PATIENT HOIST FSA ARJO MFG CO. 212000-6 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Other