ELECTRIC PT LIFTER 622000 E-881

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-07-07 for ELECTRIC PT LIFTER 622000 E-881 manufactured by Medi-man Rehab Products.

Event Text Entries

[16138045] Nurse aide was transferring resident from bed to wheelchair with electrical pt lifter. In the process of transfer, the spreader bar on the lift broke, dropping the resident to the floor. Upon inspection it was determined that 2 welds had let loose, allowing the section of the spreader bar to fall apart. (*)
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1006432
MDR Report Key23268
Date Received1995-07-07
Date of Report1995-06-26
Date of Event1995-06-15
Date Added to Maude1995-07-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameELECTRIC PT LIFTER
Generic NamePT LIFTER
Product CodeFRZ
Date Received1995-07-07
Model Number622000 E-881
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key23556
ManufacturerMEDI-MAN REHAB PRODUCTS
Manufacturer AddressMISSISSAUGA, ONTARIO CA L4W1P1


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 1995-07-07

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