FDA Adverse Event
Malfunction
Summary report: N
HOYER LIFT
MDR report key: 18772939
·
Received February 23, 2024
Report
- Report Number
- 3009402404-2024-00003
- Event Type
- Malfunction
- Date Received
- February 23, 2024
- Date of Event
- January 18, 2024
- Report Date
- February 23, 2024
- Manufacturer
- APEX HEALTHCARE MFG. INC
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THIS REPORT OR OTHER INFORMTION SUBMITTED BY JOERNS HEALTHCARE UNDER 21 CFR PART 803, AND 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.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 113820 | HOYER LIFT | PATIENT LIFT | FSA | APEX HEALTHCARE MFG. INC | HOY-ADVANCE-E |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Female | Other |