BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HILL-ROM LIKO GOLVO LIFT

    MDR report key: 3193536 · Received June 20, 2013

    Report

    Report Number
    MW5030677
    Event Type
    Injury
    Date Received
    June 20, 2013
    Date of Event
    May 17, 2013
    Report Date
    June 20, 2013
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2013 AT APPROXIMATELY 1700 TWO RNS ATTENDED THE PT FOR THE PURPOSE OF TRANSFERRING THE PT TO THE TOTAL SUPPORT BED. THE GOLVO LEFT WAS UTILIZED TO FACILITATE THE TRANSFER OF THE PT TO THE TOTAL SUPPORT BED. DURING THE TRANSFER THE PT WAS OBSERVED TO SLIDE FROM THE GOLVO SLING AND ONTO THE FLOOR. THROUGH INVESTIGATION, PHYSICAL EXAM OF THE GOLVO LIFT INVOLVED IN THIS INCIDENT THE RCA TEAM DETERMINED THAT A CLIP ON THE LIFT BAR WAS NOT FUNCTIONING AS INTENDED AND COULD HAVE BEEN A CONTRIBUTORY FACTOR IN THE SLING BEING DISLODGED FROM THE SLING BAR WHILE THERE WAS A SLACK ON THE LIFT SLING. THE CLIP IS DESIGNED TO PREVENT THE SLING FROM SLIPPING FROM ITS CORRECT POSITION BEFORE THE PT'S WEIGHT IS APPLIED TO THE LIFT EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    281477 HILL-ROM LIKO GOLVO LIFT GOLVO FSA LIKO AB GOLVO 7007 ES ITEM#358830-12230-70

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other