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 |