FDA Adverse Event Injury Summary report: N

HOYER PRESENCE

MDR report key: 2992894 · Received March 1, 2013

Report

Report Number
3009402404-2013-00006
Event Type
Injury
Date Received
March 1, 2013
Date of Event
February 4, 2013
Report Date
March 1, 2013
Manufacturer
APEX HEALTHCARE MFG INC.
Product Code
FNG
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO THE MFR BY THE FACILITY ((B)(6) CENTER), PER FACILITY A PT WAS BEING TRANSFERRED FROM THE BED TO A WHEELCHAIR AND ONE STRAP ON THE SLING CAME FREE AND THE PT FELL TO THE FLOOR. THE NURSE'S AID PUT THE PT INTO THE SLING AND ATTACHED THE SLING TO THE CRADLE. THE NURSE'S AID AND A NURSE WERE MOVING THE LIFT WHEN THE EVENT OCCURRED. THE PT LANDED ON THE LEGS OF THE LIFT AND THE FLOOR. THE SLING THAT WAS BEING USED WAS JOERNS IN A SIZE SMALL. (B)(6) CENTER CALLED 911 AND THE PT WAS TRANSPORTED TO (B)(6) HOSPITAL. THE PT HAS FACIAL, PELVIC AND FEMUR FRACTURES. AS OF THIS WRITING, THE PT IS STILL IN THE HOSPITAL. TRAINING WAS PROVIDED BY JOERNS TO THE FACILITY ON (B)(6) 2013. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
89379 HOYER PRESENCE PATIENT LIFTER FNG APEX HEALTHCARE MFG INC. HOY-PRESENCE

Patients

Seq Age Sex Outcome Treatment
1 81 YR Hospitalization