BEUDAMED
    FDA Adverse Event Other Summary report: N

    POWER LIFT W / LOW BASE 450 LBS

    MDR report key: 745994 · Received July 3, 2006

    Report

    Report Number
    MW1039594
    Event Type
    Other
    Date Received
    July 3, 2006
    Date of Event
    May 30, 2006
    Report Date
    June 20, 2006
    Manufacturer
    INVACARE CORPORATION
    Product Code
    FNG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING TRANSFER OF RESIDENT FROM WHEELCHAIR TO BED BY TWO STAFF WITH LIFT LEGS IN LOCKED POSITION, LIFT SUDDENLY BEGAN TO TIP SIDEWAYS. LEG OF LIFT UNDER BED CAUSED BED TO RISE UP AND SLING SUDDENLY SWUNG OUT AWAY FROM BED DROPPING RESIDENT APPROX 3 FT TO FLOOR LANDING ON TOP OF 2 STAFF MEMBERS. RESIDENT WAS EVALUATED IN THE ER FOR COMPLAINTS OF BACK AND BUTTOCK PAIN AND RETURNED ON PAIN MEDICATION WITH NO SPECIFIC INJURY NOTED. TWO STAFF WERE EVALUATED AND FOUND TO HAVE SUSTAINED BRUISING IN ARM, BREASTS, SHOULDER AND NECK AREAS. LIFT IMMEDIATELY TAGGED AND TAKEN OUT OF SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWER LIFT W / LOW BASE 450 LBS RELIANT, PLUS LIFT FNG INVACARE CORPORATION RPL 450-1 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other