FDA Adverse Event Other Summary report: N

VIKING M

MDR report key: 3815425 · Received April 24, 2014

Report

Report Number
1824206-2014-01122
Event Type
Other
Date Received
April 24, 2014
Date of Event
January 16, 2014
Report Date
March 11, 2014
Manufacturer
LIKO AB
Product Code
FSA
Report Source
Distributor report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO HILL-ROM THAT DURING THE TRANSFER OF A PATIENT THE SLING CAME OFF FROM THE SLING BAR HOOK CAUSING THE PATIENT TO FALL OUT OF THE SLING. NO INJURY WAS ALLEGED. REFERENCE MFR REPORT NUMBER: 8030916-2014-00033.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249494 VIKING M NON-AC POWERED PATIENT LIFT FSA LIKO AB VIKING M

Patients

Seq Age Sex Outcome Treatment
1