FDA Adverse Event Malfunction Summary report: N

HOYER 600

MDR report key: 1996023 · Received January 24, 2011

Report

Report Number
9681684-2011-00009
Event Type
Malfunction
Date Received
January 24, 2011
Report Date
January 5, 2011
Manufacturer
BHM MEDICAL, INC.
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

FURTHER INFORMATION WILL BE PROVIDED UPON MANUFACTURER'S INVESTIGATION.

Description of Event or Problem · 1

DURING A TRANSFER FROM A CHAIR TO ANOTHER CHAIR, WHILE THE PATIENT WAS SUSPENDED AND LIFTED BY THE HOYER-600, THE BOTTOM PART OF THE SPREADER BAR DETACHED. THE PATIENT FELL THREE FEET DIRECTLY TO THE GROUND, HOWEVER, IT WAS REPORTED THAT SHE DID NOT SUSTAIN ANY INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOYER 600 LIFT, PATIENT, NON AC POWERED FSA BHM MEDICAL, INC. 9600131.06

Patients

Seq Age Sex Outcome Treatment
1 39 YR Other