BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOYER

    MDR report key: 282875 · Received June 21, 2000

    Report

    Report Number
    MW1019164
    Event Type
    Injury
    Date Received
    June 21, 2000
    Date of Event
    May 6, 2000
    Report Date
    June 20, 2000
    Manufacturer
    SUNRISE MEDICAL CCG, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RN AND ASSISTANT WERE USING THE LIFT TO MOVE PT OUT OF BED TO THE RESTROOM. LIFT BROKE AND DROPPED PT. NURSES WERE UNABLE TO PREVENT INJURY. PT'S RIGHT FOOT LACERATED. LIFT REMOVED FROM SVC AND PT TREATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER PATIENT LIFT FSA SUNRISE MEDICAL CCG, INC. HMI400 *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Hospitalization