FDA Adverse Event
Injury
Summary report: N
HANDICARE EVA450EE HOYER
MDR report key: 16583473
·
Received March 20, 2023
Report
- Report Number
- MW5115870
- Event Type
- Injury
- Date Received
- March 20, 2023
- Date of Event
- November 12, 2022
- Report Date
- March 16, 2023
- Manufacturer
- DIRECT HEALTHCARE GROUP SVERIGE AB
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- 501
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SNAP ON HANDICARE EVA450EE CAME UNDONE, LET SLING LOOSE, DROPPING RESIDENT WHO HIT MOUTH ON BASE OF HOYER, BREAKING UPPER DENTURE, HIT HEAD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 999316 | HANDICARE EVA450EE HOYER | LIFT, PATIENT, NON-AC-POWERED | FSA | DIRECT HEALTHCARE GROUP SVERIGE AB | EVA 450EE | 2022/06-ST |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 87 YR | Female | Hospitalization |