FDA Adverse Event Injury Summary report: N

MINILIFT 200

MDR report key: 9637374 · Received January 28, 2020

Report

Report Number
3009481053-2020-00002
Event Type
Injury
Date Received
January 28, 2020
Date of Event
January 9, 2020
Report Date
January 27, 2020
Manufacturer
HANDICARE AB
Product Code
FSA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

THE STRAP CAME OFF THE LIFT BAR OF THE MINILIFT 200 ALLOWING THE RESIDENT TO SIT ASSISTED TO FLOOR BENDING KNEES RESULTING IN RIGHT PROXIMAL TIB/FIB FRACTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
99859 MINILIFT 200 MINILIFT FSA HANDICARE AB 401100334

Patients

Seq Age Sex Outcome Treatment
1 98 YR Other