BEUDAMED
    FDA Adverse Event Other Summary report: N

    VIKING

    MDR report key: 1153783 · Received September 3, 2008

    Report

    Report Number
    3006252983-2008-00026
    Event Type
    Other
    Date Received
    September 3, 2008
    Date of Event
    August 1, 2008
    Report Date
    August 5, 2008
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORT REC'D THAT A RESIDENT FELL BACK ONTO THE BED DURING TRANSFER. CAREGIVERS ALLEGE MINOR BACK INJURIES AS THEY TRIED TO CATCH THE RESIDENT AS SHE FELL.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other