FDA Adverse Event Other Summary report: N

UNO 120EE

MDR report key: 2630860 · Received May 14, 2012

Report

Report Number
8030916-2012-00057
Event Type
Other
Date Received
May 14, 2012
Date of Event
May 16, 2012
Report Date
May 16, 2012
Manufacturer
LIKO AB
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FACILITY COULD NOT FIND ANY FAULT ON LIFT, SLING BAR OR SLING. MANUFACTURER TOGETHER WITH AT, AT FACILITY THINKS THAT THE SLING WAS NOT CORRECTLY APPLIED TO SLING BAR AT THE TIME OF THE INCIDENT. INSTRUCTION GUIDE FOR SLING 7EN160165-04, AND LIFT 7EN150104-02 STATES THAT: "BEFORE THE PATIENT IS LIFTED FROM THE UNDERLYING SURFACE, BUT AFTER THE STRAPS HAVE BEEN FULLY EXTENDED, MAKE SURE THE STRAPS ARE PROPERLY CONNECTED TO THE SLING BAR."

Description of Event or Problem · 1

WHEN TRANSFERRING A PATIENT FROM WHEELCHAIR TO BED, ONE OF THE SLING LOOPS ON THE HEAD SIDE CAME LOOSE SO THAT THE PATIENT FELL TOWARDS THE FLOOR. THE STAFF WERE ABLE TO EASE THE FALL, AND THE PATIENT ENDED UP WITH A COUPLE OF ABRASIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNO 120EE NON-AC POWERED PATIENT LIFT FSA LIKO AB 2010004

Patients

Seq Age Sex Outcome Treatment
1 81 YR