BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIKORALL

    MDR report key: 852686 · Received May 18, 2007

    Report

    Report Number
    1225750-2007-00010
    Event Type
    Other
    Date Received
    May 18, 2007
    Date of Event
    April 23, 2007
    Report Date
    April 24, 2007
    Manufacturer
    LIKO, INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    SLING BAR IS BEING RETURNED TO MFR FOR ANALYSIS.

    Description of Event or Problem · 1

    FACILITY REPORTS THAT WHILE USING A LIKORALL TO MOVE A RESIDENT FROM BED TO CHAIR, THE SLIDING BAR BROKE DROPPING RESIDENT BACK ONTO THE BED. NO INJURIES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIKORALL NONE FSA LIKO, INC. LIKORALL 242 S

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Other