BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOYER POWER LIFTER

    MDR report key: 3181578 · Received June 5, 2013

    Report

    Report Number
    3009402404-2013-00029
    Event Type
    Injury
    Date Received
    June 5, 2013
    Date of Event
    April 23, 2013
    Report Date
    June 4, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    JOERNS SENDING THE REPORT TO THE MFR.

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MFR BY THE FACILITY (CLYDE PARK DIALYSIS), PER THE FACILITY THE PT WAS BEING LIFTED FROM THE DIALYSIS CHAIR TO HER WHEELCHAIR AFTER DIALYSIS WHEN SHE SLID OUT OF THE SLING TO THE FLOOR, HITTING THE BACK OF HER HEAD ON THE FOOTREST OF THE DIALYSIS CHAIR. THE PT WAS LAYING ON THE FLOOR AND VITALS WERE STABLE. THE PT HAS A LARGE GOOSE EGG ON THE BACK OF HER HEAD AND A DECISION WAS REACHED TO CALL EMT'S FOR TRANSPORT TO THE HOSPITAL. WHEN THE EMT'S ARRIVED, THEY TRIED TO GET THE PT TO SIT UP BUT WHEN PRESSURE WAS PLACED ON TE HIPS WITH THIS MOVEMENT THE PT CRIED OUT IN PAIN. THE PT WAS LIFTED BY SIX PEOPLE TO THE STRETCHER AND WENT TO THE HOSPITAL ((B)(6. LATER THAT DAY, THE PT CALLED THE FACILITY (CLYDE PARK DIALYSIS) TO STATE SHE HAD FRACTURED BOTH OF HER HIPS. PT WAS WHEELCHAIR BOUND DUE TO POLIO AND WAS NOT AMBULATE PRIOR TO THIS EVENT. REFERENCE UF/IMPORTER REPORT #(B)(4). THE LIFT WAS INSPECTED BY ISS SOLUTIONS AND PASSED INSPECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    249529 HOYER POWER LIFTER PATIENT LIFTER FNG JOERNS HEALTHCARE HPL 700

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Hospitalization