FDA Adverse Event Other Summary report: N

HOYER LIFTER

MDR report key: 1221819 · Received November 3, 2008

Report

Report Number
2182305-2008-00036
Event Type
Other
Date Received
November 3, 2008
Date of Event
August 6, 2008
Report Date
September 5, 2008
Manufacturer
JOERNS HEALTHCARE, INC.
Product Code
FSA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE IS 20+ YEARS OLD, HAS EXCEEDED EXPECTED LIFE OF PRODUCT SHOULD BE TAKEN OUT OF SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED TO MANUFACTURER, BY FACILITY, PER FACILITY PATIENT WAS PLACED ON LIFT SLING WHILE ON HER BED, PATIENT WAS LIFTED UP AND OUT OF THE BED, THEN WITH MOVEMENT OF THE LIFT, THE LIFT BROKE AND PATIENT FELL TO THE FLOOR. PATIENT WAS TAKEN TO ER FOR X-RAYS. PER MANUFACTURER, DEVICE HAS EXCEEDED EXPECTED LIFE OF PRODUCT; FACILITY STATES LIFT IS 20+ YEARS. RECORD DO NOT GO BACK THAT FAR, CAN NOT CONFIRM MFG OR SHIP DATE. MFG ADVISED FACILITY TO TAKE OUT OF SERVICE, PER FACILITY DEVICE IS AVAILABLE FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOYER LIFTER PATIENT LIFTER FSA JOERNS HEALTHCARE, INC. C-HLA

Patients

Seq Age Sex Outcome Treatment
1 76 YR Hospitalization