FDA Adverse Event Summary report: N

CENTURY SUPINE TUB LIFT

MDR report key: 95124 · Received August 2, 1994

Report

Report Number
95124
Date Received
August 2, 1994
Date of Event
June 1, 1994
Report Date
July 25, 1994
Manufacturer
ARJO-CENTURY INC.
Product Code
FSA
Report Source
User Facility report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

ON 6/1/94, A NURSING ASSISTANT WAS REMOVING A RESIDENT FROM THE SUPINE TUB. WHILE IN THE PROCESS, THE RESIDENT STARTED MOVING AND SLIPPED OFF THE TUBE LIFT. THE NURSING ASSISTANT HAD ONLY ONE SAFETY BELT OUT OF THREE SECURED AROUND THE RESIDENT'S WAIST. THIS ALLOWED FULL MOVEMENT OF CHEST AND LEG AREAS ALLOWING WAIST BELT TO LOOSEN AND RESIDENT TO FALL OFF THE LIFT. RESIDENT WAS SENT TO THE HOSP FOR X-RAYS AND ADMITTED WITH A RIGHT HIP FRACTURE. THE FACILITY DID A VISUAL, MECHANINCAL AND PERFORMANCE EVAL OF EQUIPMENT AND DETERMINED THAT OPERATOR ERROR CAUSED THE ACCIDENT TO OCCUR, AND NOT EQUIPMENT FAILURE. OPERATOR WAS INSERVICED ON PROPER BATHING TECHNIQUE AND SAFE EQUIPMENT OPERATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CENTURY SUPINE TUB LIFT * FSA ARJO-CENTURY INC. 58200-77 *

Patients

Seq Age Sex Outcome Treatment
1 *