FDA Adverse Event Other Summary report: N

GOLVO

MDR report key: 834636 · Received April 2, 2007

Report

Report Number
1225750-2007-00007
Event Type
Other
Date Received
April 2, 2007
Date of Event
March 10, 2007
Report Date
March 21, 2007
Manufacturer
LIKO INC.
Product Code
FSA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ON MARCH 15, 2007, A LIKO DISTRIBUTOR WAS ALLOWED TO VIEW AND EXAMINE THE GOLVO PATIENT LIFT USED IN THE REPORTED INCIDENT. THE LIFT HAD NOT BEEN REMOVED FROM SERVICE AND WAS FOUND TO BE IN GOOD WORKING ORDER. THE SLING USED IN THE TRANSFER WAS NOT A LIKO MANUFACTURED SLING, AND THEREFORE WAS NOT DESIGNED, TESTED OR APPROVED FOR USE WITH A LIKO PATIENT LIFT. LIKO INC. STRONGLY DISCOURAGES THE USE OF NON-APPROVED SLINGS AND ACCESSORIES WITH THEIR EQUIPMENT. REMEDIAL TRAINING ON THE PROPER USE OF THIS EQUIPMENT WAS OFFERED TO THE FACILITY.

Description of Event or Problem · 1

FACILITY REPORTS THAT WHILE TRANSFERRING A RESIDENT USING A GOLVO 7007ES PATIENT LIFT, THE SLING CAME OFF THE HANGER BAR AND RESIDENT FELL AND BROKE HER LEG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GOLVO * FSA LIKO INC. GOLVO 7007 ES *

Patients

Seq Age Sex Outcome Treatment
1 86 YR Other