BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOVERMATT MEDICAL CARTS

    MDR report key: 7112346 · Received December 13, 2017

    Report

    Report Number
    7112346
    Event Type
    Injury
    Date Received
    December 13, 2017
    Date of Event
    December 5, 2017
    Report Date
    December 8, 2017
    Manufacturer
    HOVERTECH INTERNATIONAL
    Product Code
    FRZ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STAFF MEMBER WAS REMOVING THE HOVERMATT AND CART OUT OF A PATIENT'S ROOM AND INTO THE HALLWAY. SHE WAS WALKING WITH THE CART TO THE STORAGE AREA AND HOVERMATT CART TIPPED OVER WHILE SHE WAS HOLDING ONTO THE CART AND FELL TO THE GROUND WITH THE CART. SHE HIT HER LEFT KNEE AND LEFT SIDE OF FOREHEAD ON FLOOR. IN SECONDS, OTHER STAFF ARRIVED TO SITUATION AND INJURED PERSON WAS NOT AROUSABLE FOR APPROXIMATELY 30-45 SECONDS WITH BREATHING AND WITH PULSE. WITH GENTLE SHAKING SHE OPENED HER EYES AND COMPLAINED OF LEFT SIDE OF FOREHEAD HURTING AND LEFT KNEE HURTING, BLOOD PRESSURE HYPERTENSIVE AT 150-160S AND FINGER STICK 151. HOUSE SUPERVISOR AND RAPID RESPONSE TEAM NOTIFIED, ASSISTED STAFF UP FROM FLOOR WITH HOVER JACK AND PLACED IN HOSPITAL BED AND TAKEN TO EMERGENCY DEPARTMENT TO BE EVALUATED. THERE HAVE BEEN NUMEROUS REPORTS OF THIS MODEL CART TIPPING OVER. THE WHEEL SPACING IS VERY NARROW AND THE CENTER OF GRAVITY IS OFFSET. THERE IS A NEWER MODEL OF CART WITH 6 WHEELS (HOVERMATT UNIVERSAL CART, HMC-U) WHICH IS MUCH MORE STABLE AND FAR LESS LIKELY TO TIP OVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    894628 HOVERMATT MEDICAL CARTS DEVICE, PATIENT TRANSFER, POWERED FRZ HOVERTECH INTERNATIONAL HMC-100

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization