DeathFSA
GULDMANN
Received Jul 6, 2020 · Event occurred Apr 20, 2020
Report 3002771221-2020-00001 · MDR key 10233956
Device
Product problems
- Detachment of Device or Device Component
Patient
Not reported
- Death
- Death
Narrative
Additional Manufacturer Narrative
BASED ON PHOTOS/VIDEO MATERIAL SUPPLIED BY THE FACILITY, AND AN IN-HOUSE SIMULATION, EVERY INDICATION POINTS TO AN INCORRECT INSTALLATION BY A 3RD PARTY. ALL RESIDENT ROOMS HAVE NOW BEEN SERVICED.
Description of Event or Problem
A RESIDENT WAS TRAVERSED THROUGH THE COMBI-LOCK PART OF THE SYSTEM AND THE CEILING LIFT CAME OUT OF THE RAIL.