BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOYER PRESENCE W/CRADLE

    MDR report key: 3281154 · Received August 1, 2013

    Report

    Report Number
    3009402404-2013-00036
    Event Type
    Other
    Date Received
    August 1, 2013
    Date of Event
    May 18, 2013
    Report Date
    July 31, 2013
    Manufacturer
    APEX HEALTHCARE MFR INC.
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    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 ((B)(6)), PER THE FACILITY TWO CNA'S WERE MOVING THE RESIDENT FROM BED TO WHEELCHAIR. WHEN THE RESIDENT WAS LIFTED INTO THE AIR, THE CNAS WERE MOVING THE LIFT. THE LIFT FELL OVER WITH THE RESIDENT IN IT. THE RESIDENT WAS ASSESSED ON THE FLOOR AND THEN RETURNED TO THE BED. X-RAY WAS TAKEN OF THE RESIDENT'S RIGHT ARM IN HIS ROOM. THE X-RAY WAS DETERMINED TO BE NEGATIVE. COMPLAINT (B)(4) HAVE BEEN ENTERED INTO OUR SYSTEM TO RETRIEVE THE LIFT FOR INVESTIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    361501 HOYER PRESENCE W/CRADLE PATIENT LIFT FNG APEX HEALTHCARE MFR INC. HOY-PRESENCE

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR