BEUDAMED
    FDA Adverse Event Death Summary report: N

    BEKA HOSPITEC SLING LIFT CARLO

    MDR report key: 8623661 · Received May 17, 2019

    Report

    Report Number
    MW5086713
    Event Type
    Death
    Date Received
    May 17, 2019
    Date of Event
    May 9, 2019
    Report Date
    May 15, 2019
    Manufacturer
    BEKA HOSPITEC / HARBOR MEDICAL INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSFERRED WITH BEKA CARLO COMFORT MECHANICAL LIFT WHEN ASSEMBLY BAR SUDDENLY BROKE CAUSING RESIDENT TO FALL TO GROUND LANDING ON HER BOTTOM. SHE WAS HOSPITALIZED AS SHE STARTED TO HAVE A CHANGE IN CONDITION WHERE LATER WE WERE INFORMED BY HOSPITAL THAT SHE HAD EXPIRED. AT THIS TIME WE ARE TOLD BY CORONER'S OFFICE THAT THE RESIDENT DID NOT EXPERIENCE AN INJURY RELATED SPECIFICALLY TO THE FALL. AT THIS TIME DEATH CERTIFICATE IS PENDING AS THEY ARE WAITING ON CULTURES. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    415547 BEKA HOSPITEC SLING LIFT CARLO LIFT, PATIENT, NON-AC-POWERED FSA BEKA HOSPITEC / HARBOR MEDICAL INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Death| H