BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOYER LIFT

    MDR report key: 225507 · Received May 21, 1999

    Report

    Report Number
    MW4002525
    Event Type
    Injury
    Date Received
    May 21, 1999
    Date of Event
    May 11, 1999
    Report Date
    May 17, 1999
    Manufacturer
    SUNRISE MEDICAL CCG., INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT DROPPED TO FLOOR ON HER LEFT SIDE WHILE BEING TRANSFERRED FROM CHAIR TO BED. NO NOTED INJURY TO RESIDENT. STAFF MEMBER WAS INJURED WHILE BREAKING FALL. NUT THAT HOLDS BOLT AT TOP OF MAST CAME OFF. SCREW LOOSENED AND METAL FLANGE BENT. PHYSICIAN WAS NOTIFIED. FAMILY MEMBER WAS NOTIFIED. RN SUPERVISOR WAS NOTIFIED, VITAL SIGNS TAKEN. RESIDENT MADE AS COMFORTABLE AS POSSIBLE. VITAL SIGNS: PULSE 108, RESPIRATIONS 26, BLOOD PRESSURE 180/110. HEAD TO TOE, NO DEFORMITIES, ABRASION, CONTUSIONS NOTED; RANGE OF MOTION WITHOUT PAIN, WILL CONTINUE TO MONITOR.

    Description of Event or Problem · 2

    RESIDENT DROPPED TO FLOOR ON HER LEFT SIDE WHILE BEING TRANSFERRED FROM CHAIR TO BED. NO NOTED INJURY TO RESIDENT. STAFF MEMBER WAS INJURED WHILE BREAKING FALL. NUT THAT HOLDS BOLT AT TOP OF MAST CAME OFF. SCREW LOOSENED AND METAL FLANGE BENT. STAFF MEMBER DESCRIBES INCIDENT: "PUTTING A RESIDENT IN BED WITH THE HOYER LIFT. THE HOYER LIFT TIPPED OVER AND JERKED MY WHOLE RIGHT SIDE WHILE TRYING TO HELP BREAK RESIDENT'S FALL. INCLUDE RIGHT SIDE: NECK, SHOULDER, BACK, HIP, BRUISE ON INSIDE RIGHT LOWER ARM." STAFF MEMBER REPORTS PAIN FROM SHOULDER TO HIP, RIGHT SIDE; FIRST NOTICED AFTER THE INCIDENT, AND DESCRIBED AS SHARP PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER LIFT PATIENT LIFT FSA SUNRISE MEDICAL CCG., INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN
    2 UNKNOWN