BEUDAMED
    FDA Adverse Event Other Summary report: N

    VIKING XL

    MDR report key: 2634376 · Received June 20, 2012

    Report

    Report Number
    8030916-2012-00060
    Event Type
    Other
    Date Received
    June 20, 2012
    Date of Event
    May 19, 2012
    Report Date
    May 3, 2012
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE LIFT WAS EVALUATED BY A SERVICE TECH. THE EVAL FOUND NO DEFECTS OR REPAIR WAS NECESSARY. THE VIKING XL INSTRUCTION GUIDE SHOWS HOW TO POSITION A PT WITH THE HEAD AGAINST THE MAST WHEN LIFTING PTS OFF THE FLOOR.

    Description of Event or Problem · 1

    WHILE LIFTING A PT UP OFF THE FLOOR THE PT'S RIGHT LEG GOT CAUGHT UNDER THE MAST ADJUSTING LEVER. A MINOR SKIN TEAR AND PUNCTURE WOUND REPORTED. THE PT WAS GIVEN FIRST AID FOR THE WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VIKING XL NON-AC POWERED PATIENT LIFT FSA LIKO AB 2040003

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR