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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRISM MEDICAL SERVICES USA P-600 PORTABLE CEILING LIFT; LIFT, PATIENT
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PRISM MEDICAL SERVICES USA P-600 PORTABLE CEILING LIFT; LIFT, PATIENT Back to Search Results
Model Number P-600
Device Problem Mechanical Problem (1384)
Patient Problem Complaint, Ill-Defined (2331)
Event Date 08/09/2014
Event Type  malfunction  
Event Description
A patient was attached to a repositioning sling which was connected to a ceiling mounted patient lift.The up button was pushed on the pendant control of the lift.The lift began to rise and, while in the process, the pneumatic tubing from the pendant control became lodged under the strap from the patient sling.When the full weight of the patient was on the strap, it pinched off the pneumatic tubing from the pendant control, causing the lift to continue to rise even after the button was released.Clinical staff was unable to reach the emergency stop due to the height of the lift.The lift continued to rise until it reached its upper limit stop.The lift traveling further than intended caused the patient to flip completely over rather than the desired reposition.Manufacturer made a site visit and is currently reviewing the incident.
 
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Brand Name
P-600 PORTABLE CEILING LIFT
Type of Device
LIFT, PATIENT
Manufacturer (Section D)
PRISM MEDICAL SERVICES USA
10888 metro ct
maryland heights MO 63043
MDR Report Key4436128
MDR Text Key15348869
Report Number4436128
Device Sequence Number1
Product Code FNG
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Type of Report Initial
Report Date 08/18/2014
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? Yes
Device Operator Nurse
Device Model NumberP-600
Device Catalogue Number303090
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA09/23/2014
Device Age1 YR
Event Location Hospital
Date Report to Manufacturer01/21/2015
Initial Date Manufacturer Received Not provided
Initial Date FDA Received09/23/2014
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
P-600; CEILING MOUNT PATIENT LIFT. PRISM MEDICAL, MODEL
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