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