BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GUARDIAN

    MDR report key: 274207 · Received April 17, 2000

    Report

    Report Number
    MW1018689
    Event Type
    Injury
    Date Received
    April 17, 2000
    Date of Event
    March 30, 2000
    Report Date
    April 3, 2000
    Manufacturer
    SUNRISE MEDICAL CCG, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TWO CNA'S HOOKED UP THE HOYER LIFT PAD ON TO THE CHAINS, THEN THEY PROCEEDED TO LIFT THE RESIDENT UP IN THE HOYER LIFT. THEY MOVED THE HOYER LIFT AWAY FORM THE BED DUE TO HEIGHT OF MAXI FLO MATTRESS TO RECEIVE ACCURATE WEIGHT. BOTH CNA'S HEARD A POP AND RESIDENT WAS ON THE FLOOR. FACILITY DID AN INSPECTION OF ALL MECHANICAL PARTS AND SLINGS, FOUND IF YOU PLACE THE J HOOK IN A BEND THAT THIS COULD MAKE THE LOAD OF THE ARM TURN LOOSE IF DEFECT IN THE J HOOK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUARDIAN HOYER LIFT FSA SUNRISE MEDICAL CCG, INC. C 11LA *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization