FDA Adverse Event Death Summary report: N

VEGA 505EE

MDR report key: 9417291 · Received December 5, 2019

Report

Report Number
3009481053-2019-00046
Event Type
Death
Date Received
December 5, 2019
Date of Event
October 20, 2019
Report Date
December 3, 2019
Manufacturer
HANDICARE AB
Product Code
FSA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PATIENT WAS TRANSFERRED FROM WHEEL CHAIR AND BED. COMPONENT ATTACHING SLINGBAR TO VEGA FLOOR LIFT DETACHED AND PATIENT FELL TO THE FLOOR. PATIENT SUSTAINED SERIOUS NECK INJURIES AND BRAIN HEMORRHAGE. MANUFACTURER WAS NOTIFIED ABOUT THE INJURIES ON (B)(6) AND LATER ON (B)(6) WAS NOTIFIED ABOUT THE DEATH OF PATIENT. MANUFACTURER INITIATED AN INTERNAL INVESTIGATION ON THE INCIDENT.

Description of Event or Problem · 1

SLING BAR DETACHED FROM LIFT AND PATIENT FELL TO THE FLOOR CAUSING SERIOUS INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1212604 VEGA 505EE PATIENT LIFTS FSA HANDICARE AB 60600003

Patients

Seq Age Sex Outcome Treatment
1 Death| H| L