BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOLLOS

    MDR report key: 5018032 · Received August 20, 2015

    Report

    Report Number
    5018032
    Event Type
    Malfunction
    Date Received
    August 20, 2015
    Date of Event
    July 7, 2015
    Report Date
    July 10, 2015
    Manufacturer
    TOLLOS, INC.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE DEVICE IS AN OVERHEAD LIFT MACHINE IN THE PATIENT'S ROOM. PER NURSE (RN) AND PATIENT, THE RN WAS PUSHING THE TOLLOS LIFT TO BACK WALL TO HANG AND THE DEVICE SPARKED AND SMOKED. CHARGE RN NOTIFIED MAINTENANCE. DEVICE WAS NOT BEING USED FOR THIS PATIENT. THE TOLLOS SERVICE REP PERFORMED A SERVICE EVALUATION ON THE LIFT. CORRECTIVE ACTION: "CHECKED ALL FUNCTIONS AND SAW NO PROBLEMS WITH LIFT OR FUNCTION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    552447 TOLLOS PATIENT LIFT FNG TOLLOS, INC. 60016

    Patients

    Seq Age Sex Outcome Treatment
    1