FDA Adverse Event Other Summary report: N

LIKORALL 200

MDR report key: 2634395 · Received June 20, 2012

Report

Report Number
8030916-2012-00061
Event Type
Other
Date Received
June 20, 2012
Date of Event
March 14, 2012
Report Date
May 30, 2012
Manufacturer
LIKO AB
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A NON HILL-ROM TECH DID AN EVAL OF THE LIFT AND COULD NOT FIND ANY DEFECTS. THE FACILITY HAS STATED THAT THE SLING BAR PROBABLY WAS NOT ATTACHED ACCORDING TO THE INSTRUCTION GUIDE. THE INSTRUCTION GUIDE, 7EN120114-01, STATES: BEFORE LIFTING ALWAYS MAKE SURE THAT THE LIFTING ACCESSORY IS CORRECTLY APPLIED TO THE LIFT.

Description of Event or Problem · 1

WHEN TRANSFERRING A PT FROM THE BED TO A SHOWER CHAIR, THE SLING BAR CAME OFF THE LIFT STRAP AND THE PT FELL BACK ONTO THE BED. NO INJURY ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIKORALL 200 NON-AC POWERED PATIENT LIFT FSA LIKO AB 3121001

Patients

Seq Age Sex Outcome Treatment
1 56 YR