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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INVACARE TAYLOR ST RELIANT 450 PATIENT LIFT; LIFT, PATIENT, AC-POWERED

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INVACARE TAYLOR ST RELIANT 450 PATIENT LIFT; LIFT, PATIENT, AC-POWERED Back to Search Results
Model Number RELIANT 450 PATIENT LIFT
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problems Bone Fracture(s) (1870); Hemorrhage/Bleeding (1888)
Event Date 12/27/2022
Event Type  Death  
Event Description
A medwatch report was received from the fda.The medwatch report stated "pt had fall from hoyer lift during a transfer.He sustained an acetabular fracture with internal hemorrhaging.He died approx 15 hrs after event.".
 
Manufacturer Narrative
This incident will be reported in an abundance of caution.Limited information was available from the medwatch report and no contact information was available, therefore limited investigation could be conducted.The underlying cause of the user falling during a transfer and sustaining injuries and expiring 15 hours later couldn't be determined.
 
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Brand Name
RELIANT 450 PATIENT LIFT
Type of Device
LIFT, PATIENT, AC-POWERED
Manufacturer (Section D)
INVACARE TAYLOR ST
1200 taylor st
elyria OH 44035
Manufacturer (Section G)
INVACARE TAYLOR STREET
1200 taylor st.
elyria OH 44035
Manufacturer Contact
jason fiest
one invacare way
elyria, OH 44035
8003336900
MDR Report Key16371281
MDR Text Key309476864
Report Number1525712-2023-00002
Device Sequence Number1
Product Code FNG
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Physician
Type of Report Initial
Report Date 01/18/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Model NumberRELIANT 450 PATIENT LIFT
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 01/18/2023
Initial Date FDA Received02/14/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Death;
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