BEUDAMED
    FDA Adverse Event Other Summary report: N

    VIKING

    MDR report key: 625856 · Received August 9, 2005

    Report

    Report Number
    1225750-2005-00011
    Event Type
    Other
    Date Received
    August 9, 2005
    Date of Event
    July 9, 2005
    Report Date
    August 9, 2005
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    IN 2005, A PT FELL BACKWARDS WHILE BEING RAISED IN A VIKING M PT LIFT/HOIST. ACCORDING TO THE FACILITY CAREGIVER, WHILE THE PT WAS INITIALLY BEING ELEVATED FROM THEIR BED, THE PT REACHED UP AND GRABBED ONTO THE SLING HANGER BAR. THIS UNEVEN WEIGHT DISTRIBUTION LED TO THE HANGER BAR'S CENTER BOLT BREAKING, CAUSING THE PT TO FALL BACKWARDS ONTO THE BED. THE PT REPORTEDLY WAS NOT INJURED. LIKO INC.'S LOCAL DISTRIBUTOR WAS INFORMED OF THE INCIDENT TWO DAYS LATER. ON THAT SAME DAY THE LIFT WAS INSPECTED, THE SLING HANGER BAR WAS REPLACED, AND NO OTHER SIGNS OF WEAR WERE OBSERVED. THE LIFT WAS THEN RETURNED TO SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VIKING PT LIFT/HOIST FSA LIKO AB VIKING L *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other