BEUDAMED
    FDA Adverse Event Other Summary report: N

    GOLVO

    MDR report key: 2475614 · Received February 24, 2012

    Report

    Report Number
    8030916-2012-00020
    Event Type
    Other
    Date Received
    February 24, 2012
    Date of Event
    January 31, 2012
    Report Date
    January 31, 2012
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    INSTRUCTION GUIDE FOR UNIVERSAL SLING BAR ((B)(4)) STATES: FOR SAFE AND TROUBLE-FREE OPERATION, A FEW ROUTINE PROCEDURES SHOULD BE PERFORMED EVERY DAY, BEFORE THE SLING BAR IS IN USE: WHEN USING A QUICK-RELEASE HOOK SYSTEM, CHECK THAT THE QUICK-RELEASE HOOK IS CORRECTLY FASTENED TO THE LIFT AND THE SLING BAR. INSTRUCTION GUIDE FOR THE LIFT ((B)(4)) STATES: BEFORE LIFTING ALWAYS MAKE CERTAIN THAT: THE LIFTING ACCESSORY IS CORRECTLY APPLIED TO THE LIFTING EQUIPMENT.

    Description of Event or Problem · 1

    ACCORDING TO STAFF AT THE FACILITY, THE RED CATCH LOCK ON THE QUICK RELEASE HOOK BROKE DURING A PT TRANSFER AND THE SLING BAR DETACHED FROM THE LIFT. PT ALLEGED BACK PAIN.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR