BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TOLLOS

    MDR report key: 8217909 · Received December 31, 2018

    Report

    Report Number
    8217909
    Event Type
    Injury
    Date Received
    December 31, 2018
    Date of Event
    December 10, 2018
    Report Date
    December 17, 2018
    Manufacturer
    TOLLOS
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    RESIDENT BEING TRANSFERRED FROM BEDSIDE IN SIT-TO-STAND LIFT TO BATHROOM. NEAR THE BATHROOM THE RESIDENT BEGAN FALLING AND TWISTING TOWARD LEFT SIDE OF BODY. METAL CLIP ON LIFT BENT BACKWARDS AND HARNESS STRAP SLID DOWN LIFT HANDLE. RESIDENT STILL ATTACHED TO THE LIFT WITH RIGHT SIDE OF BODY. RESIDENT THEN LOWERED TO THE FLOOR BY STAFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1044896 TOLLOS STEADY AID 350 FSA TOLLOS

    Patients

    Seq Age Sex Outcome Treatment
    1 97 YR Hospitalization