BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARJO MAXI PILLAR

    MDR report key: 717897 · Received May 8, 2006

    Report

    Report Number
    MW1039005
    Event Type
    Injury
    Date Received
    May 8, 2006
    Date of Event
    April 30, 2006
    Report Date
    May 8, 2006
    Manufacturer
    ARJO CENTURY, INC
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE TRANSFERRING A RESIDENT FROM THE BED TO BRODA CHAIR USING A HOYER LIFT, THE RESIDENT SLID FROM THE HOYER SLING WHILE IN A POSITION APPROX 46" ABOVE THE FLOOR - HITTING THE BACK OF THE HEAD AND SUSTAINING A SIGNIFICANT INJURY REQUIRING A HOSP TRANSFER. IT IS SURMISED THAT THE LEFT LEG STRAP WAS NOT SECURELY ATTACHED TO LIFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO MAXI PILLAR HOYER LIFT FNG ARJO CENTURY, INC 526 *

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Hospitalization