MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-18 for TOLLOS CEILING LIFT CIRRUS 600LBS manufactured by T.h.e. Medical Barrie.
[18087928]
This morning, patient was being transferred from bed to chair in room. Patient was lifted approximately 6 inches and midway between bed and chair when the belt slipped approximately 6 inches. Patient had a startle response but no physical harm was done as the belt caught itself before patient came in contact with any hard surface. Nursing assistants were completing the transfer. The cna described the hanger bar as being in the hanger hook on the wall and with no slack in the strap between the motor and hanger hook. Upon entering the room, the hanger was found properly seated in the hook and with no slack in the strap.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5043211 |
| MDR Report Key | 4867561 |
| Date Received | 2015-06-18 |
| Date of Report | 2015-06-18 |
| Date of Event | 2015-06-09 |
| Date Added to Maude | 2015-06-26 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TOLLOS CEILING LIFT |
| Generic Name | TOLLOS CEILING LIFT |
| Product Code | FNG |
| Date Received | 2015-06-18 |
| Model Number | CIRRUS 600LBS |
| ID Number | CSA NO. 601.1/UL NO. 2601-1 |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | T.H.E. MEDICAL BARRIE |
| Manufacturer Address | ONTARIO CA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-06-18 |