BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOYER LIFT

    MDR report key: 28794 · Received October 30, 1995

    Report

    Report Number
    MW4000957
    Event Type
    Malfunction
    Date Received
    October 30, 1995
    Date of Event
    October 20, 1995
    Report Date
    October 29, 1995
    Manufacturer
    GUARDIAN PRODUCTS CO. INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THERE WAS NO PT INJURY IN THIS EVENT. THE PT WAS BEING LIFTED IN THE SLING AND WAS APPROXIMATELY 5 INCHES ABOVE THE CHAIR. THE PIN HOLDING THE "CASTLE NUT" BROKE, THE NUT LOOSENED AND THE WHOLE LIFTING BAR SEPARATED FROM THE LIFT. THIS EVENT WAS REPORTED TO THE MFR. LIFT WAS INSPECTED 9/28/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER LIFT PATIENT LIFT FSA GUARDIAN PRODUCTS CO. INC. CHLA

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR