BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFTEM MARK IV

    MDR report key: 882741 · Received July 18, 2007

    Report

    Report Number
    1058908-2007-00001
    Event Type
    Other
    Date Received
    July 18, 2007
    Manufacturer
    MILLENNIUM MEDICAL PRODUCTS, INC.
    Product Code
    FSA
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN 2007, (RENTAL DISTRIBUTOR OF MEDICAL DEVICE) INFORMED MILLENNIUM MEDICAL PRODUCTS, INC. (MANUFACTURER OF MEDICAL DEVICE) OF THE FOLLOWING INCIDENT REGARDING LIFT. ON THE MONTH BEFORE, DISTRIBUTOR WAS NOTIFIED THAT TWO (2) NURSING ASSISTANTS AT A FACILITY WERE INJURED WHEN THE LIFT "TIPPED" WHILE MOVING A PATIENT FROM A WHEELCHAIR TO A BED. ONE NURSING ASSISTANT TWISTED HER BACK, AND ONE NURSING ASSISTANT REPORTED THE LIFT LANDED ON HER FOOT. IT IS UNKNOWN IF EITHER NURSING ASSISTANT REQUIRED TREATMENT FOR REPORTED INJURIES. DISTRIBUTOR WAS UNABLE TO SPEAK DIRECTLY WITH THE INJURED STAFF, BUT WAS ABLE TO DETERMINE THAT WHILE FIRST SHIFT ALWAYS USES THREE (3) PEOPLE FOR LIFT TRANSFERS, SECOND SHIFT (WHEN INJURY OCCURRED) WAS ONLY USING TWO (2) PEOPLE. DISTRIBUTOR REINSTRUCTED STAFF ON PROPER USE OF LIFTEM (MEDICAL DEVICE). PROBABLE CAUSE OF INCIDENT IS USER ERROR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFTEM MARK IV PATIENT LIFT AND TRANSFER DEVICE FSA MILLENNIUM MEDICAL PRODUCTS, INC. LFT700 N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 YR