BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARJO SAF-LIFT

    MDR report key: 52710 · Received July 30, 1996

    Report

    Report Number
    52710
    Event Type
    Injury
    Date Received
    July 30, 1996
    Date of Event
    May 28, 1996
    Report Date
    June 4, 1996
    Manufacturer
    ARJO-CENTURY, INC.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT SLID OUT OF CHAIR AS IT WAS BEING LOWERED (RESIDENT WAS BEING TRANSFERRED OUT OF THE TUB AT THE TIME). STAFF MEMBER STATES THAT SHE GRABBED THE SAFETY BELT AS SHE WAS IN THE PROCESS OF TURNING THE CHAIR AND THE SAFETY BELT CAME UNDONE. RESIDENT FELL FORWARD OUT OF THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO SAF-LIFT HYDRAULIC TUB CHAIR LIFT FNG ARJO-CENTURY, INC. SL10 *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Hospitalization| S