BEUDAMED
    FDA Adverse Event Summary report: N

    HOYER MODEL #HPL700 SERIAL NUMBER 50239

    MDR report key: 3181691 · Received May 31, 2013

    Report

    Report Number
    3181691
    Date Received
    May 31, 2013
    Date of Event
    April 23, 2013
    Report Date
    May 6, 2013
    Manufacturer
    JOERNS
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT (B)(6) WAS BEING LIFTED BY HOYER FROM DIALYSIS CHAIR TO HER WHEELCHAIR POST TX WHEN SHE SLIDE OUT OF THE HOYER TO THE FLOOR HITTING HER HEAD ON FOOTREST OF DIALYSIS CHAIR. PT WAS WITHOUT COMPLAINT LYING ON FLOOR. VITALS WERE STABLE. SHE HAD A LARGE GOOSE EGG ON THE BACK OF HER HEAD AND DECISION WAS REACHED TO CALL EMT'S AND HAVE PT CHECKED AT THE HOSPITAL. SHE AGREED TO GO TO (B)(6). WHEN EMT'S ARRIVED THEY TRIED TO GET HER TO SIT UP BUT WHEN PRESSURE WAS PLACED ON HIPS WITH THIS MOVEMENT PT CRIED OUT IN PAIN. SHE WAS LIFTED BY SIX PEOPLE TO THE STRETCHER AND WENT TO HOSPITAL. PT CALLED US LATER THAT DAY TO STATE SHE HAD FRACTURED BOTH OF HER HIPS. PT WAS WHEELCHAIR BOUND DUE TO POLIO AND DOES NOT AMBULATE PRIOR TO THIS EVENT. DEVICE PASSED INSPECTION ON (B)(6) 2013 AND PLACED INTO SVC. AFTER EVENT DEVICE WAS REMOVED FROM FLOOR AND REINSPECTED BY ISS SOLUTIONS AND IT PASSED ALL INSPECTIONS AT THAT TIME ALSO. TRAINING WAS COMPLETED WITH ALL FLOOR STAFF WHEN DVD ARRIVED FROM MFR. RETURN DEMONSTRATION WAS REQUIRED PRIOR TO SIGN-OFF. MFR REP #3009402404-2013-00029.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    242414 HOYER MODEL #HPL700 SERIAL NUMBER 50239 HOYER LIFT FNG JOERNS

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Hospitalization| O| S