FDA Adverse Event Other Summary report: N

HOYER PRESENCE AND SLING

MDR report key: 3177560 · Received June 12, 2013

Report

Report Number
3009402404-2013-00030
Event Type
Other
Date Received
June 12, 2013
Date of Event
May 31, 2013
Report Date
June 11, 2013
Manufacturer
APEX HEALTHCARE MFR INC
Product Code
FNG
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

JOERNS SENDING THE REPORT TO THE MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER THE FACILITY THE RESIDENT WAS BEING LIFTED WITH A MEDIUM FULL BACK SLING WHEN THE RESIDENTS LEFT SHOULDER SLING STRAP CAME OFF THE CRADLE. THE RESIDENT WAS SAFELY LOWERED TO THE BED. THE RESIDENT HAS NO INJURIES. (B)(6) FROM JOERNS VISITED THE FACILITY ON (B)(6) 2013 TO EVALUATE THE LIFT AND SLING. BOTH ARE IN GOOD CONDITION AND CONTINUE TO BE USED BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
265998 HOYER PRESENCE AND SLING PT LIFTER AND SLING FNG APEX HEALTHCARE MFR INC HOY-PRESENCE

Patients

Seq Age Sex Outcome Treatment
1 67 YR