BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CIRRUS

    MDR report key: 7348646 · Received March 19, 2018

    Report

    Report Number
    7348646
    Event Type
    Injury
    Date Received
    March 19, 2018
    Date of Event
    March 4, 2018
    Report Date
    March 9, 2018
    Manufacturer
    TOLLOS, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE TRANSFERRING A PATIENT FROM THE BED TO A STRETCHER, THE LIFT SNAPPED, CAME OFF THE TRACK IN THE CEILING AND FELL ONTO THE PATIENT. A TRANSPORTER WAS WITH THE PATIENT AND ATTEMPTED TO STOP IT FROM HITTING THE PATIENT. THE TRANSPORTER SUFFERED A BROKEN ARM AS A RESULT. AFTERWARDS THE PATIENT COMPLAINED OF HIP PAIN. X-RAYS WERE DONE TO CONFIRM NO FURTHER INJURY. BIOMED CONFIRMED THAT THE SAFETY PIN ON THE TRACK WAS MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    192141 CIRRUS LIFT, PATIENT, NON-AC-POWERED FSA TOLLOS, INC. 600

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR NOT APPLICABLE.