FDA Adverse Event Injury Summary report: N

UNO

MDR report key: 3913861 · Received June 9, 2014

Report

Report Number
1824206-2014-01746
Event Type
Injury
Date Received
June 9, 2014
Date of Event
March 8, 2014
Report Date
March 10, 2014
Manufacturer
LIKO AB
Product Code
FSA
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A PT WAS LIFTED FROM THE BED ON A CHAIR WHEN BOTH STAFF MEMBERS IN THE ROOM LIFTING THE PT HEARD A POP NOISE AND THEN THE PT FELL TO THE GROUND HITTING HIS HEAD AND SUSTAINING A CUT. THE PT WAS TRANSPORTED TO THE HOSPITAL WHERE HE WAS DIAGNOSED WITH A SPINE FRACTURE AND TREATED FOR THE CUT ON HIS HEAD. REF MFR # 1824206-2014-01746.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334150 UNO NON-AC POWERED PATIENT LIFT FSA LIKO AB 100 EE

Patients

Seq Age Sex Outcome Treatment
1 182 YR Hospitalization