BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOERNS HEALTHCARE

    MDR report key: 6079265 · Received November 4, 2016

    Report

    Report Number
    6079265
    Event Type
    Injury
    Date Received
    November 4, 2016
    Date of Event
    October 30, 2016
    Report Date
    November 2, 2016
    Manufacturer
    JOERNS HEALTHCARE/HOYER
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TWO STAFF WERE TRANSFERRING RESIDENT FROM BED TO WHEELCHAIR WITH FULL BODY LIFT - LIFT BROKE AND RESIDENT FELL, LANDED ON FLOOR WITH SLING STILL ATTACHED. RESIDENT LANDED ON LEGS OF LIFT AND HIT HEAD. LIFT CENTER LANDED ON RESIDENTS ABDOMEN. RESIDENT WAS ABOUT 4 FEET IN THE AIR DURING TRANSFER WHEN THE LIFT BROKE. RESIDENT WASN'T RESPONDING WITH EYES OPEN INITIALLY AFTER THE FALL FOR 4 MINUTES. RESIDENT BODY WAS STIFF AND RIGIDITY NOTED. STAFF UNHOOKED THE SLING FROM THE LIFT AND TRANSFERRED RESIDENT WITH THE SLING AND A DIFFERENT LIFT FROM THE FLOOR TO BED. ON CALL DOCTOR NOTIFIED AND RESIDENTS SENT TO ER FOR EVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    731245 JOERNS HEALTHCARE HOYER FSA JOERNS HEALTHCARE/HOYER HPL700WSC

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other