FDA Adverse Event
Injury
Summary report: N
HOYER LIFT
MDR report key: 18340719
·
Received December 15, 2023
Report
- Report Number
- 3009402404-2023-00047
- Event Type
- Injury
- Date Received
- December 15, 2023
- Date of Event
- November 10, 2023
- Report Date
- December 15, 2023
- Manufacturer
- JOERNS HEALTHCARE
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS REPORT OR OTHER INFORMATION SUBMITTED BY JOERNS HEALTHCARE UNDER 21 CFR PART 803, AND RELEASE BY FDA OF THAT REPORT INFORMATION, DOES NOT REFLECT A CONCLUSION OR ADMISSION BY JOERNS HEALTHCARE , ITS EMPLOYEES, ITS CONTRACT SERVICE FIRMS, OR THEIR EMPLOYEES, FINISHED DEVICE SUPPLIERS, OR THEIR EMPLOYEES CAUSED OR CONTRIBUTED TO THE REPORTABLE EVENT.
Description of Event or Problem · 0
IT WAS REPORTED TO THE MANUFACTURER, BY THE END USER, PER THE END USER, THAT PATIENT FELL HEAD FIRST OUT OF SLING ON PATIENT LIFT MODEL HPL700, USING AN EXTRA LARGE LOOP 2020 DESIGN LOOP SLING FULLBACK, DISPOSABLE. IT IS NOTED AND PICTURES PROVE THAT THE SLING USED ON THE LIFT WAS NOT A JOERNS MANUFACTURED SLING. COMPLAINT # (B)(4) WAS ENTERED INTO OUR SYSTEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 929680 | HOYER LIFT | PATIENT LIFT | FSA | JOERNS HEALTHCARE | HPL700NA1010P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |