MALIBU/SOVERIGN (INCL. DIGNITY)

Description of Event or Problem

INITIALLY IT WAS REPORTED BY ARJOHUNTLEIGH REPRESENTATIVE THAT CAREGIVER WAS OPERATING THE CHAIR LIFT OF THE MALIBU BATH TO TAKE THE PATIENT OUT OF THE BATH. WHILE RAISING THE PATIENT THE OPERATION FALTERED A FEW TIMES BUT CONTINUED WITH THE TRANSFER AFTER JIGGLING THE CABLE. THE LIFT STOPPED OPERATING WHEN IT WAS AT FULL HEIGHT AND HAD ROTATED 90 DEGREES TO THE LEFT. THE PATIENT WAS TOO FRAIL TO SUPPORT HERSELF IN THE CHAIR WITHOUT ASSISTANCE AND CAREGIVER CALLED FOR THE HELP OF A TRAINEE CARER. TOGETHER THEY LIFTED THE PATIENT DOWN FROM THE MALIBU CHAIR TO A WHEELCHAIR. DURING THE LIFTING THE CAREGIVER TOOK MOST OF THE WEIGHT STRAINING HER BACK. STRAINED BACK WAS A RESULT OF LIFTING THE PATIENT OUT OF THE BATH A THE CHAIR LIFT DIDN'T WORK. REF MFR REPORT 9611530-2014-00034.