BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOYER POWER LIFT

    MDR report key: 3536673 · Received October 28, 2013

    Report

    Report Number
    3009525805-2013-00053
    Event Type
    Other
    Date Received
    October 28, 2013
    Date of Event
    October 16, 2013
    Report Date
    October 25, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY (B)(6), PER THE FACILITY THE RESIDENT WAS IN THE SLING THAT WAS ATTACHED TO THE LIFT. SHE WAS BEING MOVED FROM A CHAIR TO THE BED. THE RESIDENT WAS SUSPENDED IN THE AIR, THE SCALE CRACKED AND THE RESIDENT BEGAN TO FALL TO THE FLOOR. THE EMPLOYEES WERE ABLE TO CATCH THE RESIDENT BEFORE SHE LANDED ON THE FLOOR. THE RESIDENT WAS ASSESSED AT THAT TIME FOR INJURIES AND NO INJURIES WERE FOUND. PICTURES OF THE LIFT INVOLVED IN THE EVENT WERE SENT TO THE DIRECTOR OF PATIENT HANDLING AT JOERNS, WHOM STATED THAT THE SCALE WAS ATTACHED TO THE BOOM BACKWARDS. COMPLAINT NUMBER (B)(4) WERE ENTERED INTO OUR SYSTEM TO RETRIEVE THE LIFT FOR EVALUATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    552840 HOYER POWER LIFT PATIENT LIFTER FNG JOERNS HEALTHCARE HPL700

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR