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