FDA Adverse Event
Death
Summary report: N
UNO
MDR report key: 1719208
·
Received June 8, 2010
Report
- Report Number
- 8030916-2010-00002
- Event Type
- Death
- Date Received
- June 8, 2010
- Date of Event
- April 27, 2010
- Report Date
- May 10, 2010
- Manufacturer
- LIKO AB
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION IS ON GOING. REQUEST HAS BEEN MADE FOR PRODUCT USED IN THE ALLEGED INCIDENT TO BE RETURNED TO THE MFR FOR ANALYSIS.
Description of Event or Problem · 1
FACILITY ALLEGES, THAT WHILE TRANSFERRING A PT FROM BED TO A CHAIR, THERE WAS A LOUD NOISE AND THE PT FELL TO THE FLOOR. THE NURSING HOME PT DIED TWO DAYS LATER. CAUSE OF DEATH IS UNK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNO | NON-AC POWERED PATIENT LIFT | FSA | LIKO AB | UNO 102EE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Death |