BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOYER

    MDR report key: 3820302 · Received May 15, 2014

    Report

    Report Number
    MW5036133
    Event Type
    Malfunction
    Date Received
    May 15, 2014
    Date of Event
    May 2, 2014
    Report Date
    May 13, 2014
    Manufacturer
    SUNRISE MEDICAL
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING LIFTED OUT OF BED WITH HOYER LIFT WHEN BOLT ATTACHING SPREADER BAR TO LIFT SNAPPED OFF AND PT FELL BACK TO BED. NO INJURY TO PT. LIFT WAS INSPECTED BY BIOMED 1-2014.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291485 HOYER MECHANICAL LIFT FSA SUNRISE MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR