BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNO 102 EE

    MDR report key: 4155987 · Received October 6, 2014

    Report

    Report Number
    8030916-2014-00089
    Event Type
    Injury
    Date Received
    October 6, 2014
    Date of Event
    September 4, 2014
    Report Date
    September 5, 2014
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN EVALUATED THE LIFT AND FOUND NO WEAR OR OTHER ISSUES. LIFT HAD ALL NORMAL FUNCTIONS. THE MOBILE LIFT HAD A QUICK RELEASE HOOK (QRH) ASSEMBLED AND THE MOST PROBABLE CAUSE OF THE EVENT IS THAT THE Q-LINK WAS NOT PROPERLY ASSEMBLED INTO THE QRH. THIS MAY CAUSE THE SLING BAR AND THE QRH TO COME LOOSE FROM THE Q-LINK WHEN WEIGHT IS APPLIED.

    Description of Event or Problem · 1

    IT WAS REPORTED TO HILL-ROM THAT WHILE A PATIENT WAS MOVED FROM BED TO WHEELCHAIR WHEN SHE WAS 10 CM ABOVE THE WHEELCHAIR THE SLING BAR GAVE WAY FROM THE LIFT ARM AND PATIENT FELL DOWN ON THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    622181 UNO 102 EE NON-AC POWERED PATIENT LIFT FSA LIKO AB 2010004

    Patients

    Seq Age Sex Outcome Treatment
    1 90 YR Hospitalization