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 |