BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOYER PRESENCE LIFT

    MDR report key: 3900974 · Received June 16, 2014

    Report

    Report Number
    3009402404-2014-00015
    Event Type
    Injury
    Date Received
    June 16, 2014
    Date of Event
    May 26, 2014
    Report Date
    June 16, 2014
    Manufacturer
    APEX HEALTHCARE MFG INC
    Product Code
    FNG
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    JOERNS SENDING THE REPORT TO THE MANUFACTURER.

    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 THE BED. AFTER THE STAFF PICK THE RESIDENT UP IN THE LIFT, THEY MOVED THE WHEELCHAIR OUT OF THE WAY. THE STAFF HEARD A POP FROM THE SLING. THE LEFT SIDE UPPER HOOK OF THE SLING CAME OFF THE CRADLE. THE RESIDENT FELL OUT OF THE SLING AND LANDED ON THE FLOOR. SHE WAS TRANSPORTED TO THE ER FOR X-RAY. SHE HAS A FRACTURED LEFT SHOULDER AND THE ARM/SHOULDER ARE NOT IMMOBILIZED. THE SLING THAT WAS BEING USED DURING THE LIFT WAS INVACARE SLING. COMPLAINT# (B)(4) WAS ENTERED INTO OUR SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    353493 HOYER PRESENCE LIFT PATIENT ELECTRIC LIFT FNG APEX HEALTHCARE MFG INC HOY-PRESENCE

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Hospitalization