BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PREMIER CTS 48272

    MDR report key: 3973011 · Received July 29, 2014

    Report

    Report Number
    MW5037539
    Event Type
    Malfunction
    Date Received
    July 29, 2014
    Date of Event
    July 8, 2014
    Report Date
    July 28, 2014
    Manufacturer
    SUNRISE MEDICAL
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    LIFT WOULD NOT LIFT WHEN PUMPED UP, KEPT SLOWLY DESCENDING. PATIENT FELL FROM HOYER LIFT, WHILE NURSES ATTEMPTED TO GET HER OUT OF BED, RECEIVING A SKIN TEAR TO RLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    441661 PREMIER CTS 48272 HOYER LIFT FSA SUNRISE MEDICAL HML400

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR