BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOYER LIFT

    MDR report key: 713724 · Received November 18, 2005

    Report

    Report Number
    2182305-2005-00044
    Event Type
    Other
    Date Received
    November 18, 2005
    Date of Event
    January 6, 2005
    Report Date
    November 7, 2005
    Manufacturer
    APEX HEALTHCARE MFR., INC.
    Product Code
    FNG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "RESIDENT WAS BEING TRANSFERRED FROM A W/CHAIR TO A BED. THE TWO CAREGIVERS RELEASED THE PUMP TO LET THE RESIDENT DOWN, THE BOTTOM OF THE PUMP CAME OFF OF THE LIFT AND THE RESIDENT FELL. THE RESIDENT WAS NOT INJURED. THEY FOUND THE BOLT THAT HOLDS THE BOTTOM OF THE PUMP ONTO THE LIFT AND HAVE REATTACHED IT. LIFT IS IN STORAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOYER LIFT PT LIFTER FNG APEX HEALTHCARE MFR., INC. C-HLA *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other