FDA Adverse Event Injury Summary report: N

HOYER LIFTER

MDR report key: 2123415 · Received November 3, 2008

Report

Report Number
2182305-2008-00038
Event Type
Injury
Date Received
November 3, 2008
Date of Event
August 20, 2008
Report Date
September 5, 2008
Manufacturer
BHM MEDICAL INC.
Product Code
FNG
Removal / Correction Number
RECALL #Z-1135-2008
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO DISTRIBUTOR, BY FACILITY, (B)(6), PER FACILITY THIS SCALE/CRADLE COMBINATION WAS AFFECTED BY BHM RECALL AND PER FACILITY, THEY DID RECEIVE RECALL INFORMATION ON SAID LIFT AS WELL AS THE FIELD REPAIR KIT; WHICH THE CORRECTION ACTION WAS COMPLETED BY THEM ON (B)(6) 2008. FACILITY STATED INCIDENT HAPPENED ON (B)(6), PER FACILITY, THEY WERE IN THE PROCESS OF TRANSFERRING A RESIDENT FROM WHEEL CHAIR TO STRETCHER; TWO C.N.A.'S WERE PRESENT WHEN THE SPREADER BAR FELL FROM THE SCALE AND RESIDENT FELL TO THE FLOOR. RESIDENT WAS SENT TO THE HOSPITAL BY AMBULANCE, X-RAYS TAKEN SHOWED FRACTURE TO THE COCCYX. RMA #84001370 ISSUED TO GET SCALE AND CRADLE BACK FOR EVALUATION. REPLACEMENT ORDER (B)(4). BHM MANUFACTURER OF LIFT HAS BEEN NOTIFIED. BHM RECALL NUMBER IS AS FOLLOWS: Z-1135-2008.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOYER LIFTER PATIENT LIFTER FNG BHM MEDICAL INC. HPL600WBSC

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization