BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOERNS HEALTHCARE

    MDR report key: 8561670 · Received April 26, 2019

    Report

    Report Number
    8561670
    Event Type
    Injury
    Date Received
    April 26, 2019
    Date of Event
    April 22, 2019
    Report Date
    April 23, 2019
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSFERRED FROM BED TO CHAIR. AS RESIDENT WAS ABOUT TO BE LOWERED TO THE CHAIR (JUST AS STAFF WAS ABOUT TO PRESS THE LOWER BUTTON ON THE REMOTE) THE MACHINE FAILED AND THE DEVICE COLLAPSED. NO NOISE WAS HEARD PRIOR TO THE BREAK/FAILURE. NO JOLTING OR DIFFICULTY OCCURRED DURING THE TRANSFER TO INDICATE A POTENTIAL PROBLEM. JOERNS CONTACTED AND INFORMED. PICTURES ALSO SUBMITTED. JOERNS REP WILL BE ONSITE ON 04/02/2019 TO INSPECT HOYER. ALL OTHER HOYERS WITHIN FACILITY INSPECTED IMMEDIATELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    351186 JOERNS HEALTHCARE HOYER LIFT FSA JOERNS HEALTHCARE HPL-402

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention