BEUDAMED
    FDA Adverse Event Other Summary report: N

    GOLVO

    MDR report key: 1030077 · Received April 3, 2008

    Report

    Report Number
    3006252983-2008-00009
    Event Type
    Other
    Date Received
    April 3, 2008
    Date of Event
    March 3, 2008
    Report Date
    March 11, 2008
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSFERRED FROM BED TO WHEELCHAIR USING A GOLVO PT LIFT, SHIFTED WEIGHT AND THE SLING LOOP CAME OFF THE SLING BAR. PT DROPPED AND BROKE TWO RIBS ALSO, CONTUSION TO THE HEAD. IT WAS DISCOVERED THAT THE SAFETY LATCHES WERE MISSING FROM THE SLING BAR USED ON THE GOLVO, AND THAT THE SLING USED IN THE TRANSFER WAS NOT MFG, APPROVED OR DESIGNED FOR USE WITH THIS EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GOLVO NON-AC POWERED PT LIFT FSA LIKO AB GOLVO 7007 *

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Other