BEUDAMED
    FDA Adverse Event Death Summary report: N

    TOLLOS ULTRA LIFT

    MDR report key: 10334014 · Received July 28, 2020

    Report

    Report Number
    10334014
    Event Type
    Death
    Date Received
    July 28, 2020
    Date of Event
    May 9, 2020
    Report Date
    July 22, 2020
    Manufacturer
    TOLLOS
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    HOSPICE PT RESIDED IN A CONVENT. PER CAREGIVER, TWO PEOPLE WERE PLACING PT IN HOYER LIFT - THE SWING TWISTED, PT FELL THROUGH HOLE, AND HIT HEAD. LATER, PT FOUND TO BE UNRESPONSIVE. CONVENT CONTACTED HOSPICE AGENCY. PT WAS DNR AND NOT TAKEN TO THE HOSPITAL, PER CAREGIVER REQUEST. HOSPICE PROVIDED COMFORT CARE. PT DIED LATER IN DAY. PT'S RESIDENTIAL INFO: (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    796573 TOLLOS ULTRA LIFT HOYER LIFT FSA TOLLOS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Death GERI CHAIR CUSHION | NEBULIZER COMPRESSOR| OXYGEN CONCENTRATOR, 2L NC | WHEELCHAIR| WHEELCHAIR PILLOW CUSHION