MAUDE Adverse Event Report: LIKO AB LIKO MASTERLIFT; NON-AC POWERED PATIENT LIFT

Model Number MASTERLIFT 2300

Device Problems Resistance, loss of (1534); Failure To Service (1563)

Patient Problem No Information (3190)

Event Date 03/09/2014

Event Type  malfunction  

Event Description

It was reported to hill-rom that a lift strap lowered 10-15 cm over a bed during patient transfer.No injury alleged.Mfr - 8030916-2014-00034.

• Brand Name: LIKO MASTERLIFT
• Type of Device: NON-AC POWERED PATIENT LIFT
• Manufacturer (Section D): LIKO AB; nedre vagen 100; lulea 975 92; SW 975 92
• Manufacturer (Section G): HILL-ROM, INC.; 125 east pearl st.; batesville IN 47006
• Manufacturer Contact: 125 east pearl st.; batesville, IN 47006
• MDR Report Key: 3808483
• MDR Text Key: 4522610
• Report Number: 1824206-2014-01317
• Device Sequence Number: 1
• Product Code: FSA
• Reporter Country Code: DA
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Distributor
• Reporter Occupation: Not Applicable
• Type of Report: Initial
• Report Date: 04/28/2014,03/31/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/28/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Model Number: MASTERLIFT 2300
• Device Catalogue Number: 3110602
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 04/28/2014
• Distributor Facility Aware Date: 03/31/2014
• Device Age: 9 YR
• Event Location: Hospital
• Date Report to Manufacturer: 04/28/2014
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1