BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIKING M

    MDR report key: 3841297 · Received May 16, 2014

    Report

    Report Number
    1824206-2014-01501
    Event Type
    Malfunction
    Date Received
    May 16, 2014
    Date of Event
    March 29, 2014
    Report Date
    April 25, 2014
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FR
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO HILL-ROM THAT DURING THE TRANSFER OF A PATIENT TO THE BED IT WAS ALLEGED THAT THE LIFT ARM UNEXPECTEDLY DROPPED. NO INJURY ALLEGED. REF MFR REPORT 8030916-2014-00036.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    293491 VIKING M NON-AC POWERED PATIENT LIFT FSA LIKO AB VIKING M

    Patients

    Seq Age Sex Outcome Treatment
    1