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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: APEX HEALTHCARE MFG INC HOYER ELECTRIC PATIENT LIFT

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APEX HEALTHCARE MFG INC HOYER ELECTRIC PATIENT LIFT Back to Search Results
Model Number HOY-ADVANCE-E
Device Problems Crack; Device Inoperable; Positioning Problem
Event Date 12/14/2013
Event Type  Injury  
Event Description

It was reported to the mfr by the home-user (b)(6), per the home-user (b)(6) (wife) was lifting (b)(6) (step-father) from the bed. (b)(6) was in a sitting position, fully lifted (height) and away from the bed. The lift fell over. (b)(6) landed on the floor with the lift on top of him. (b)(6) was able to get the lift off of (b)(6), but not able to assist (b)(6) up off the floor. (b)(6) called 911 and (b)(6) was transported to the (b)(6) er. At the er, (b)(6) had a full body evaluation for any injuries. (b)(6) had a bruise on his foot, knee, left arm and elbow. (b)(6) was released to return home later that same day. (b)(4) was entered into our system.

 
Manufacturer Narrative

Joerns sending the report to the mfr.

 
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Brand NameHOYER ELECTRIC PATIENT LIFT
Type of DeviceELECTRIC PATIENT LIFT
Manufacturer (Section D)
APEX HEALTHCARE MFG INC
min hsiung
chi yi
TW 
Manufacturer Contact
felicia banks
2100 design rd
arlington , TX 76014-0000
8008260270
MDR Report Key3627918
Report Number3009402404-2014-00003
Device Sequence Number1
Product CodeFNG
Report Source Manufacturer
Source Type Other
Reporter Occupation NOT APPLICABLE
Type of Report Initial
Report Date 02/05/2014
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received02/06/2014
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator LAY USER/PATIENT
Device MODEL NumberHOY-ADVANCE-E
Device Catalogue NumberHOY-ADVANCE-E
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA02/05/2014
Distributor Facility Aware Date12/14/2013
Device Age2 yr
Event Location Home
Date Report TO Manufacturer02/05/2014
Date Manufacturer Received01/20/2014
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Date Device Manufactured08/01/2012
Is The Device Single Use? No
Is this a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse

Patient TREATMENT DATA
Date Received: 02/06/2014 Patient Sequence Number: 1
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