BEUDAMED
    FDA Adverse Event Other Summary report: N

    VIKING XL

    MDR report key: 1509357 · Received October 6, 2009

    Report

    Report Number
    8030916-2009-00029
    Event Type
    Other
    Date Received
    October 6, 2009
    Date of Event
    September 7, 2009
    Report Date
    September 8, 2009
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    LOCAL TECHNICIAN VIEWED AND INSPECTED THE SLING BAR USED IN THIS REPORTED INCIDENT. THE QUICK RELEASE HOOK ATTACHED TO THE SLING BAR WAS FOUND NOT TO BE IN A RECOMMENDED CONDITION FOR USE. USER GUIDES ARE CLEAR IN INSTRUCTION AS TO THE PROPER AND SAFE USE OF THE PRODUCT.

    Description of Event or Problem · 1

    FACILITY REPORTED THAT WHILE TRANSFERRING A PT FROM WHEELCHAIR TO BED USING A VIKING XL THAT THE SLING BAR DETACHED FROM THE LIFT AND THE PT FELL 3 - 3.5 FT TO THE BED. NO INJURIES WERE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR