FDA Adverse Event
Injury
Summary report: N
ROMEDIC MINI LIFT 200
MDR report key: 5532346
·
Received March 25, 2016
Report
- Report Number
- MW5061305
- Event Type
- Injury
- Date Received
- March 25, 2016
- Date of Event
- March 1, 2016
- Report Date
- March 23, 2016
- Manufacturer
- HANDICARE USA INC.
- Product Code
- FMR
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
EMPLOYEES WERE ASSISTING A RESIDENT OUT OF A SHOWER CHAIR USING A SIT TO STAND LIFT (MINILIFT 200). THE WELD ON THE LIFT LEG BROKE AND THE LIFT BEGAN TO FALL OVER, THE EMPLOYEES LOWERED THE RESIDENT AND LIFT TO THE FLOOR AND ONE OF THE EMPLOYEES WAS STRUCK IN THE BACK BY THE LIFT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 183711 | ROMEDIC MINI LIFT 200 | SIT TO STAND LIFT | FMR | HANDICARE USA INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Hospitalization |