BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOYER LIFT

    MDR report key: 2031909 · Received March 21, 2011

    Report

    Report Number
    2182305-2011-00005
    Event Type
    Other
    Date Received
    March 21, 2011
    Date of Event
    February 21, 2011
    Report Date
    March 17, 2011
    Manufacturer
    APEX HEALTHCARE MFG INC.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED, BY (B)(6); ONE OF THEIR CUSTOMERS' FACILITY, THE PONDEROSA PINES HAD A NEAR MISS INCIDENT WHERE THE BOOM DROPPED QUICKLY CAUSING THE RESIDENT TO FALL BACK ONTO THE BED. NO INJURY WAS REPORTED HE WAS STARTLED. (B)(4) WAS ENTERED INTO THE SYSTEM TO GET PRODUCT BACK FOR EVALUATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER LIFT PATIENT LIFTER FNG APEX HEALTHCARE MFG INC. HPL402

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other