FDA Adverse Event
Other
Summary report: N
HOYER POWER LIFT W/SCALE
MDR report key: 3560356
·
Received December 4, 2013
Report
- Report Number
- 3009402404-2013-00062
- Event Type
- Other
- Date Received
- December 4, 2013
- Date of Event
- November 24, 2013
- Report Date
- December 2, 2013
- Manufacturer
- JOERNS HEALTHCARE
- Product Code
- FNG
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER THE FACILITY THE RESIDENT WAS BEING MOVED FROM THE WHEELCHAIR TO A SHOWER CHAIR. THE RESIDENT WAS IN THE SLING THAT WAS ATTACHED TO THE LIFT AND RAISED IN THE AIR. THE CRADLE DETACHED FROM THE BOOM. THE CRADLE AND RESIDENT FELL TO THE FLOOR. X-RAYS WERE PERFORMED ON THE RESIDENT AT THE FACILITY AND WERE NEGATIVE. COMPLAINT # (B)(4) WAS ENTERED INTO OUR SYSTEM TO RETRIEVE THE LIFT FOR EVALUATION. AS OF THIS WRITING, THE LIFT HAS NOT BEEN RECEIVED AT JOERNS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 628602 | HOYER POWER LIFT W/SCALE | PATIENT LIFTER W/SCALE | FNG | JOERNS HEALTHCARE | HPL700WSC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR |