BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOYER STATURE

    MDR report key: 3031898 · Received March 25, 2013

    Report

    Report Number
    3009402404-2013-00013
    Event Type
    Other
    Date Received
    March 25, 2013
    Date of Event
    February 26, 2013
    Report Date
    March 25, 2013
    Manufacturer
    APEX HEALTHCARE MFG INC
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MFR BY THE FACILITY (B)(6), PER THE FACILITY WAS TRANSFERRING A RESIDENT FROM THE BED TO A CHAIR WHEN THE LIFT MADE A COUPLE NOISES AND THEN THE BOOM LOWERED DOWN ALL THE WAY. THE RESIDENT WAS OVER THE BED AT THE TIME AND STAFF WAS ABLE TO SET THE RESIDENT BACK ON THE BED. NO INJURIES OCCURRED. SERVICE REP WAS SENT TO THE FACILITY TO PERFORM AND INSPECTION OF THE LIFT. (B)(4) WAS ENTERED INTO OUR SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    121699 HOYER STATURE PATIENT LIFTER FNG APEX HEALTHCARE MFG INC HOYER STATURE

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR