BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOR-AM

    MDR report key: 681690 · Received February 9, 2006

    Report

    Report Number
    MW1037991
    Event Type
    Injury
    Date Received
    February 9, 2006
    Date of Event
    February 7, 2006
    Report Date
    February 9, 2006
    Manufacturer
    NOR-AM PATIENT CARE PRODUCTS INC
    Product Code
    FNG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING HOYERED FROM BED TO RECLINER CHAIR WHEN STRAP SLIPPED OFF S HOOKS. RESIDENT FELL TO FLOOR HITTING BUTTOCKS FIRST AND THEN BACK OF HEAD FOLLOWED, CONTACTING THE METAL SUPPORT LEGS OF HOYER, LEFT SIDE. RESIDENT COMPLAINED OF BACK PAIN, ARM PAIN. RESIDENT MOVING ARMS, LEGS AND HEAD ON OWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOR-AM READY CARE LIFT FNG NOR-AM PATIENT CARE PRODUCTS INC RLC-4000E NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Disability