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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDCARE PRODUCTS, INC. MEDCARE LIFT N'WEIGH MEDCARE LIFT W/SCALE

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MEDCARE PRODUCTS, INC. MEDCARE LIFT N'WEIGH MEDCARE LIFT W/SCALE Back to Search Results
Model Number 400003
Device Problems Solder Joint Fracture ; Device Operates Differently Than Expected
Event Date 01/09/2014
Event Type  Malfunction  
Event Description

Patient was being transferred when the metal weld securing the boom to the mast gave way, causing the resident to fall approximately 14" to the ground. The resident showed no signs of injury after an emergency room visit. The lift has been pulled out of service and is going to be replaced. The lift is 14 years old.

 
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Brand NameMEDCARE LIFT N'WEIGH
Type of DeviceMEDCARE LIFT W/SCALE
Manufacturer (Section D)
MEDCARE PRODUCTS, INC.
burnsville MN
Manufacturer Contact
kara lyle
87 sharer rd.
vaughan, on  L4L 8-Z3
  L4L 8Z3
8509003X2
MDR Report Key3694834
Report Number2135150-2014-00001
Device Sequence Number1
Product CodeFNG
Report Source Manufacturer
Source Type User facility
Reporter Occupation
Remedial Action Replace
Type of Report Initial
Report Date 01/20/2014
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received01/20/2014
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator HEALTH PROFESSIONAL
Device MODEL Number400003
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? Yes
Date Manufacturer Received01/20/2014
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Date Device Manufactured03/01/1999
Is The Device Single Use? No
Is this a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Invalid Data

Patient TREATMENT DATA
Date Received: 01/20/2014 Patient Sequence Number: 1
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