BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIKO

    MDR report key: 1000011 · Received February 12, 2008

    Report

    Report Number
    MW5005536
    Event Type
    Injury
    Date Received
    February 12, 2008
    Date of Event
    February 8, 2008
    Report Date
    February 12, 2008
    Manufacturer
    LIKO NORTH AMERICA
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    TWO NURSE AIDES WERE TRANSFERRING A RESIDENT FROM SHOWER CHAIR TO BED. THEY LIFTED HIM COMPLETELY OUT OF THE CHAIR, REMOVED THE CHAIR AND THE LIFT ARM IMMEDIATELY "GAVE WAY" AND THE RESIDENT FELL APPROXIMATELY 36" TO 40" ONTO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIKO UNO LIFT FSA LIKO NORTH AMERICA 102

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Hospitalization