BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNO 102

    MDR report key: 844299 · Received April 25, 2007

    Report

    Report Number
    1225750-2007-00008
    Event Type
    Other
    Date Received
    April 25, 2007
    Date of Event
    April 1, 2007
    Report Date
    April 10, 2007
    Manufacturer
    LIKO, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    FACILITY REPORTED THE INCIDENT TO LIKO INC. ON 04/10/2007. HOWEVER, ON 04/05/2007 THE FACILITY HAD ALLOWED AN UNAUTHORIZED TECHNICIAN TO REMOVE THE LIFT FROM THE FACILITY, EXAMINE IT AND REPAIR THE LIFT. WHEN AN AUTHORIZED LIKO DISTRIBUTOR WENT ON SITE 04/13/2007 THE LIFT WAS BACK IN SERVICE AND IN GOOD WORKING CONDITION.

    Description of Event or Problem · 1

    TWO AIDS TRANSFERRING RESIDENT FROM BED TO CHAIR USING AN UNO 102 PATIENT LIFT, LIFTED THE RESIDENT ABOVE THE BED AND TO A CHAIR. AS LOWERING BEGAN, THE LIFT AND RESIDENT TOPPLED TO THE RIGHT, RESIDENT FELL TO THE FLOOR. THE SAME LIFT WAS THEN USED TO TRANSFER THE RESIDENT FROM THE FLOOR AND BACK TO BED. FRACTURES TO BOTH OF THE RESIDENT'S LEGS WAS NOT NOTICED BY FACILITY UNTIL AFTER SUPPER THAT EVENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNO 102 * FSA LIKO, INC. UNO 102 *

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other