FDA Adverse Event Injury Summary report: N

UNO

MDR report key: 2071611 · Received April 13, 2011

Report

Report Number
8030916-2011-00021
Event Type
Injury
Date Received
April 13, 2011
Date of Event
March 13, 2011
Report Date
March 14, 2011
Manufacturer
LIKO AB
Product Code
FSA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE LIFT WAS TESTED AND FOUND TO OPERATE CORRECTLY. THE SLING BAR WAS MISSING THE SAFETY LATCHES AT THE TIME OF THE EVENT, BUT THEY HAVE SINCE BEEN REPLACED. ACCOUNT STATED THEY PLAN TO CONTINUE USE OF THE LIFT AS THEY FEEL THE PROBLEM IS DIRECTLY RELATED TO ACTIONS OF THE PT. INSTRUCTION GUIDE 7EN150104-02 FOR THIS LIFT STATES: NEVER LEAVE A PT UNATTENDED IN A LIFTING SITUATION.

Description of Event or Problem · 1

ACCOUNT ALLEGED THAT WHILE THE PT WAS IN THE SLING, THE ATTENDANT LEFT THE SIDE OF THE PT BRIEFLY. WHEN THE ATTENDANT WALKED AWAY, THE PT BEGAN KICKING AND CONTINUED TO INCREASE THE AMOUNT OF KICKING UNTIL SHE FLIPPED AND HIT HER HEAD. ACCOUNT STATED AT THE TIME OF THE INCIDENT, THERE WAS ONLY ONE ATTENDANT AVAILABLE. THE LIFT REMAINED IN NORMAL OPERATIONAL POSITION AND THE SLING WAS STILL ATTACHED TO THE SLING BAR. ACCOUNT STATED THE PT WAS TREATED AND RECEIVED STITCHES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNO NON-AC POWERED PATIENT LIFT FSA LIKO AB UNO 100 EE

Patients

Seq Age Sex Outcome Treatment
1 UNK Other