MAUDE Adverse Event Report: TOLLOS AC-POWERED PATIENT LIFT; LIFT, PATIENT, AC-POWERED

Model Number TOLLOS CIRRUS ELECTRIC CEILING LIFT

Device Problem Physical Resistance/Sticking (4012)

Patient Problem Bruise/Contusion (1754)

Event Date 12/06/2018

Event Type  Injury  

Event Description

Reported that patient was lifted from transport stretcher to bed.The lift went up fine but would not come down.Staff attempted to use controller and red emergency pull without successs.After pulling for a short period, (less than one minute), the lift just dropped abou six inches and hit darlene in the face.Ice applied, no further aid required.Patient emotionally affected, but not injured.Were there any injuries? yes.Was medical attention required? no.What were the injuries?: bruising on jaw/cheek.This report reflects information received by fda in the form of a notification per 803.22 (b)(2).

• Brand Name: AC-POWERED PATIENT LIFT
• Type of Device: LIFT, PATIENT, AC-POWERED
• Manufacturer (Section D): TOLLOS
• MDR Report Key: 17526819
• MDR Text Key: 321077521
• Report Number: MW5133756
• Device Sequence Number: 1
• Product Code: FNG
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 12/17/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Model Number: TOLLOS CIRRUS ELECTRIC CEILING LIFT
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 08/12/2023
• Patient Sequence Number: 1