BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VIKING

    MDR report key: 2897005 · Received November 19, 2012

    Report

    Report Number
    8030916-2012-00103
    Event Type
    Injury
    Date Received
    November 19, 2012
    Date of Event
    September 1, 2012
    Report Date
    October 18, 2012
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    ACCORDING TO FACILITY THE MOST PROBABLE CAUSE TO THIS INCIDENT IS USER ERROR.

    Description of Event or Problem · 1

    PATIENT FELL OUT OF THE SLING DURING TRANSFER BETWEEN BED AND WHEELCHAIR. THE SLING DETACHED FROM ONE OF THE SLING BAR HOOKS. PATIENT HIT HEAD/BACK OF HEAD AND LEFT SIDE OF THE TORSO ON THE LEFT LEG ON THE LIFT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention