FDA Adverse Event Other Summary report: N

HOYER 600

MDR report key: 4743355 · Received April 30, 2015

Report

Report Number
1419652-2015-00147
Event Type
Other
Date Received
April 30, 2015
Date of Event
October 25, 2014
Report Date
April 2, 2015
Manufacturer
ARJOHUNTLEIGH MAGOG INC.
Product Code
FSA
Report Source
Distributor report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2015 ARJOHUNTLEIGH RECEIVED THE FDA REPORT (B)(4) FROM (B)(4) THE US IMPORTER OF THE DEVICE. ON (B)(6) 2014 (B)(4) RECEIVED A REPORT FROM THE CUSTOMER REGARDING THE INCIDENT INVOLVING THE HOYER 600 LIFT AND THE SLING: ON (B)(6) 2014 THE SLING WAS PLACED TOO LOW. WHEN THE CERTIFIED NURSING ASSISTANT (CNA) THAT WAS GUIDING THE PT LET GO TO POSITION THE WHEELCHAIR UNDERNEATH HER, THE PT FELL BACKWARD OUT OF THE SLING. THE CNA ATTEMPTED TO CATCH THE PT, HOWEVER WAS ONLY SUCCESSFUL IN SLOWING THE FALL. THE PT BUMP THE HEAD BUT, OTHERWISE, HAD NO MARKS OR INJURIES. NEUROLOGICALLY, THE PT WAS AT HER BASELINE ABILITIES. THE PT THEN WAS SENT TO THE EMERGENCY ROOM FROM EVALUATION AND EVERYTHING WAS WITHIN NORMAL LIMITS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
285338 HOYER 600 FSA ARJOHUNTLEIGH MAGOG INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 Other