FDA Adverse Event
Injury
Summary report: N
TOLLOS HOYER LIFT
MDR report key: 17564054
·
Received August 15, 2023
Report
- Report Number
- MW5144634
- Event Type
- Injury
- Date Received
- August 15, 2023
- Date of Event
- July 10, 2023
- Report Date
- August 10, 2023
- Manufacturer
- TOLLOS MANUFACTURING
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- 501
- Health Professional
- N
Narratives
Description of Event or Problem · 0
EMPLOYEES ATTEMPTED TO TRANSFER THE RESIDENT USING A MECH LIFT AND ONE STRAP PF THE SLING CAME LOSE AND THE RESIDENT SLID TO THE FLOOR BEFORE THEY COULD CATCH HER, OR LOWER BACK TO THE BED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1063916 | TOLLOS HOYER LIFT | LIFT, PATIENT, NON-AC-POWERED | FSA | TOLLOS MANUFACTURING | SN13219 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 92 YR | Female | Other| L |