BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIKING

    MDR report key: 2011876 · Received March 3, 2011

    Report

    Report Number
    8030916-2011-00009
    Event Type
    Malfunction
    Date Received
    March 3, 2011
    Date of Event
    January 19, 2011
    Report Date
    February 10, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE INSTRUCTION GUIDE FOR THE LIFT STATES: BEFORE LIFTING ALWAYS MAKE CERTAIN THAT THE SLING'S STRAP LOOPS ARE CORRECTLY FASTENED TO THE SLINGBAR HOOKS WHEN THE SLING STRAP IS EXTENDED, BUT BEFORE THE PATIENT IS LIFTED FROM THE UNDERLYING SURFACE.

    Description of Event or Problem · 1

    FACILITY ALLEGED THAT WHILE TRANSFERRING A PATIENT THAT THE SHOULDER STRAP LOOP ON THE SLING BECAME DETACHED FROM SLING BAR. PATIENT WAS NOT INJURED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 14 YR