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 |