VIKING

Report

• Report Number: 1824206-2013-05345
• Date Received: November 22, 2013
• Date of Event: October 23, 2013
• Report Date: October 24, 2013
• Manufacturer: LIKO AB
• Product Code: FSA
• Adverse Event: Yes
• Report Source: Distributor report
• Reporter Occupation: OTHER

Narratives

Description of Event or Problem · 1

DURING TRANSFER OF A PT FROM BED TO WHEELCHAIR, THE SLING BAR DETACHES FROM THE QRH (QUICK RELEASE HOOK) AND THE PT DROPS DOWN INTO THE WHEELCHAIR. NO INJURIES ALLEGED. TWO DAYS LATER, THEY FOUND A FEMUR FRACTURE ON THE LEFT SIDE AND A SURGERY WAS PERFORMED.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
609639	VIKING	NON-AC POWERED PATIENT LIFT	FSA	LIKO AB	VIKING M

Patients

Seq	Age	Sex	Outcome	Treatment
1			Hospitalization

Terms

Patient problem · 1

• Bone Fracture(s)

Product problems · 1

• Use of Device Problem

Type of report · 1

• Initial submission