BEUDAMED
    FDA Adverse Event Death Summary report: N

    UNO

    MDR report key: 2221330 · Received August 19, 2011

    Report

    Report Number
    8030916-2011-00054
    Event Type
    Death
    Date Received
    August 19, 2011
    Date of Event
    May 28, 2011
    Report Date
    August 9, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    LIKO HILL-ROM WAS NOTIFIED ON (B)(4) 2011 OF AN INCIDENT THAT OCCURRED ON (B)(4) 2011. INSPECTION PERFORMED BY FACILITY, IT WAS DETERMINED THE SAFETY TAB WHICH HOLDS THE SLING LOOP IN PLACE WAS STUCK IN THE OPEN POSITION. STAFF BENT THE CLIP BACK TO ITS PROPER POSITION SO THAT IT CAN SWING FREELY. THE LIFT IS BACK IN SERVICE AT THIS TIME. DEATH CERTIFICATE LISTS CAUSE OF DEATH AS METASTATIC RENAL CELL CARCINOMA WITH A CONTRIBUTING FACTOR OF FRACTURED LEFT HIP.

    Description of Event or Problem · 1

    TWO CNA'S WERE TRANSFERRING COMBATIVE PT ON A LIKO UNO MOBILE LIFT. THE STAFF HEARD A SNAP AND THE SLING LOOP RELEASED CAUSING THE PT TO FALL TO THE FLOOR. HIS HEAD HIT THE FLOOR AND STAFF CAUGHT HIS HIPS AND LOWERED HIM TO THE FLOOR. PT WAS TRANSFERRED TO THE HOSP AND WAS DIAGNOSED WITH FRACTURED LEFT HIP. HE WAS TRANSFERRED TO HOSPICE UNIT WHERE HE EXPIRED (B)(6) 2011.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNO NON-AC POWERED PATIENT LIFT FSA LIKO AB UNO 102 ES

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death