BEUDAMED
    FDA Adverse Event Other Summary report: N

    GULDMANN MOBILE HOIST

    MDR report key: 748487 · Received August 3, 2005

    Report

    Report Number
    MW1036247
    Event Type
    Other
    Date Received
    August 3, 2005
    Date of Event
    July 15, 2005
    Report Date
    July 25, 2005
    Manufacturer
    V-GULDMANN A/S
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSFERRED VIA LIFT, OUR STREP CAME UNHOOKED AND RESIDENT FELL TO FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GULDMANN MOBILE HOIST MOBILE HOIST FSA V-GULDMANN A/S 21-XXX-4793 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Other