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U.S. Department of Health and Human Services

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

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APEX HEALTHCARE MFG INC HOYER MANUAL LIFT MANUAL PATIENT LIFT Back to Search Results
Model Number HML400
Device Problem Unintended Movement
Event Date 04/10/2011
Event Type  Injury  
Event Description

It was reported to the manufacturer by plaintiff's counsel, per the received documents, the plaintiff, who was the caregiver, alleges that she was attempting to use the lift to transfer the home care patient from his bed to his wheelchair. While the home care patient was being lifted, the pneumatic arm suddenly failed and began to plunge toward the ground. In an attempt to prevent harm to the home care patient, the caregiver grabbed the weight bearing chains securing the arm to keep the patient from crashing to the ground. The chains and patient spun, twisting and contorting the caregiver's arms, neck and spine. Numerous requests to counsel have been made to receive additional information and details related to this alleged incident report with no response from the counsel. Complaint #(b)(4) was entered into our system.

 
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Brand NameHOYER MANUAL LIFT
Type of DeviceMANUAL PATIENT LIFT
Manufacturer (Section D)
APEX HEALTHCARE MFG INC
min hsiung, chi yi
TW 
Manufacturer Contact
felicia banks
2100 design rd
arlington , TX 76014
8008260270
MDR Report Key4765685
Report Number3009402404-2015-00012
Device Sequence Number1
Product CodeFNG
Report Source Manufacturer
Source Type Other
Reporter Occupation NOT APPLICABLE
Type of Report Initial
Report Date 05/07/2015
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received05/08/2015
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator LAY USER/PATIENT
Device MODEL NumberHML400
Device Catalogue NumberHML400
Was Device Available For Evaluation? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA05/07/2015
Distributor Facility Aware Date04/10/2011
Device Age9 yr
Event Location Home
Date Report TO Manufacturer05/07/2015
Date Manufacturer Received04/07/2015
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Date Device Manufactured11/01/2005
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: 05/08/2015 Patient Sequence Number: 1
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