FDA Adverse Event Malfunction Summary report: N

MULTIRALL 200

MDR report key: 2900227 · Received November 13, 2012

Report

Report Number
8030916-2012-00102
Event Type
Malfunction
Date Received
November 13, 2012
Date of Event
October 23, 2012
Report Date
October 23, 2012
Manufacturer
LIKO AB
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE ACCOUNT STATED THAT THEY COULD RECREATE THE ISSUE WHEN RUNNING THE LIFT EITHER UP OR DOWN WITH A 170 LB LOAD. THEY TESTED THE MULTIRAIL, BOTH RIGHT SIDE UP AND UPSIDE DOWN AND FOUND THE LIFT STRAP WAS TWISTED AROUND THE DRUM ALLOWING IT TO SLIP. THE STRAP WAS FULLY EXTENDED AND TESTED AGAIN WITH NO JERK OR BUMP IN THE LIFT. THE LIFT WAS RETURNED TO SERVICE.

Description of Event or Problem · 1

THE COMPLAINANT STATED THAT THE LIFT DROPPED 6-8 INCHES WITH A PT IN THE LIFT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTIRALL 200 LIFT, PATIENT, NON-AC-POWERED FSA LIKO AB 3130001

Patients

Seq Age Sex Outcome Treatment
1 UNK