BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOY-STATURE

    MDR report key: 3142460 · Received March 12, 2013

    Report

    Report Number
    3009402404-2013-00004
    Event Type
    Injury
    Date Received
    March 12, 2013
    Date of Event
    January 26, 2013
    Report Date
    February 25, 2013
    Manufacturer
    APEX HEALTHCARE MFG INC
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    JOERNS HEALTHCARE WILL BE SENDING COPY OF THIS REPORT TO: LIFT MANUFACTURER [APEX HEALTHCARE MFG INC] AND THE SCALE MANUFACTURER [IMS INC (INTEGRATED MEASUREMENT SYSTEMS INC)].

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY, (B)(6) HEALTH AND REHAB, PER FACILITY A PIN ON THE LIFT CRADLE CAME LOOSE AND IS MISSING, THE RESIDENT FELL HIT HEAD AND WAS SENT TO THE HOSPITAL FOR MEDICAL EXAM AND THEN WAS ADMITTED. MANUFACTURER SENT A NEW SCALE AND CRADLE TO THE FACILITY. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    104981 HOY-STATURE PATIENT LIFTER FNG APEX HEALTHCARE MFG INC HOT-STATURE

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization