BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOYER

    MDR report key: 1843502 · Received September 21, 2010

    Report

    Report Number
    MW5017543
    Event Type
    Malfunction
    Date Received
    September 21, 2010
    Date of Event
    September 12, 2010
    Report Date
    September 20, 2010
    Manufacturer
    SUNRISE MEDICAL
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSFERRED IN HOYER LIFT. TWO STNA'S PRESENT FOR TRANSFER PER POLICY. TWO OF THE HOYER PAD STRAPS NOT APPLIED CORRECTLY CAUSING RESIDENT TO START TO SLIP. ONE OF THE STNA'S GRABBED RESIDENT TO PREVENT RESIDENT FROM FALLING THEN BOTH CARRIED HER TO BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER LIFT FNG SUNRISE MEDICAL HPL-600WBSC

    Patients

    Seq Age Sex Outcome Treatment
    1 96 YR