BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIKING

    MDR report key: 2243490 · Received August 19, 2011

    Report

    Report Number
    8030916-2011-00058
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    August 2, 2011
    Report Date
    August 2, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    FACILITY COORDINATOR RELEASED THE E-STOP BUTTON ON THE LIFT AND THE HAND CONTROLLER BEGAN TO FUNCTION PROPERLY. ACTUATOR WAS REPLACED AND LIFT IS BACK IN SERVICE.

    Description of Event or Problem · 1

    CUSTOMER WAS LOWERING A PT AND THE HAND CONTROLLER DOWN BUTTON WAS NOT FUNCTIONING. CUSTOMER USED THE MANUAL EMERGENCY DOWN. THE ACTUATOR STOPPED JUST AN INCH ABOVE THE SHOWER CHAIR. LIFT WAS TAKEN OUT OF SERVICE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1