DeathFSA
GULDMANN GH3 CEILING LIFT
Received Apr 28, 2020 · Event occurred Apr 20, 2020
Report MW5094289 · MDR key 10008785
Device
Generic name
Lift, Pateint, Non-ac-powered
Manufacturer
Guldmann, Inc. / V. Guldmann A/sModel number
555237Lot number
BATCH NO. 0000045963
Product problems
- Detachment of Device or Device Component
- Device Fell
Patient
101 YR
- Death
- Fall
- Death
- Fall
Narrative
Description of Event or Problem
ON (B)(6) 2020, RESIDENT WAS BEING TRANSFERRED WITH A CEILING LIFT BY TWO STAFF MEMBERS. WHILE UNDER OPERATION WITH THE RESIDENT IN THE SLING, THE LIFT DETACHED FROM THE CEILING TRACK AND RESIDENT FELL TO THE GROUND. RESIDENT PASSED AWAY A SHORT TIME LATER. FDA SAFETY REPORT ID# (B)(4).