FDA Adverse Event Other Summary report: N

HOYER LIFTER

MDR report key: 746049 · Received August 7, 2006

Report

Report Number
2182305-2006-00031
Event Type
Other
Date Received
August 7, 2006
Date of Event
July 9, 2006
Report Date
August 4, 2006
Manufacturer
APEX HEALTHCARE MFG INC
Product Code
FNG
Removal / Correction Number
Z-0904-06
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO MANUFACTURER, BY FACILITY, THAT WHILE USING HOYER LIFT TO TRANSFER A RESIDENT OUT OF HER BED, THE LIFT FAILED. PER FACILITY, THE BOLT UNDERNEATH THE HYD CHAMBER CAME OUT AND THE BOOM CAME DOWN ON AND HIT THE RESIDENT. RESIDENT FELL BACK ONTO HER BED. LIFT HIT HER RIGHT HAND, SMALL REDDEN AREA TO KNUCKLE AND HAD SWELLING. PER FACILITY, WHEN THE HOYER LIFT ARRIVED, THE MAINTENANCE MAN HAD LEFT FOR THE DAY. SO C.N.A. PUT THE LIFT TOGETHER AND ONCE THE LIFT WAS TOGETHER THEY USED SAID LIFT. THE NEXT DAY, THE MAINTENANCE MAN CHECKED THE LIFT OVER TO BE SURE IT WAS IN CORRECT WORKING ORDER AND IT WAS ALLOWED TO BE USED. MANUFACTURER SENT REPLACEMENT JACK OUT AND ISSUED RMA #681538 FOR RETURN AND EVALUATION. MFG DATE OF OCTOBER 2003. MANUFACTURER DID FOR FIX, THIS FIX WAS ISSUED AND IMPLEMENTED DECEMBER 2004.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOYER LIFTER PATIENT LIFTER FNG APEX HEALTHCARE MFG INC HML400 *

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other