MAUDE Adverse Event Report: LIKO AB UNIVERSAL SLINGB 450 QRH; LIFT, PATIENT, NON-AC-POWERED

Model Number	3156085
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	11/23/2023
Type of Reportable Event	Malfunction
Event or Problem Description
The customer alleged the slingbar was broken near the support hook and needed to be replaced.There was no allegation of patient or caregiver injury or death reported from this alleged incident.This report was filed in our complaint handling system as (b)(4).
Additional Manufacturer Narrative
Upon inspection, the hrc technician confirmed that there was a break in the composite hook part of the slingbar.The field service technician replaced the slingbar to resolve the alleged issue.The technician performed a functional test per the service manual to verify the lift functioned as designed.The universal slingbar can be used in combination with liko slings that attaches to the sling bar using sling loops.Liko´s universal sling bars are with two assembly options, fixed assembly or with quick-release hook.Hillrom investigation on previous similar cases concludes that the universal slingbar will not break if it is used as intended.The universal slingbar can hold the load it is designed for if the load is applied according to instruction for use.Tests demonstrate that the composite hooks on the universal slingbar can withstand more than 780 kg load until breakage.Our investigation further shows that the breakage of the composite hook can occur at lower weight if the load is not centered, the load is applied in only one hook or the load is not applied inside the hook as intended.In the instruction for use for universal sling bars (7en160185 rev 5), the safety instruction section states: before lifting, always make sure that the sling¿s strap loops are correctly fastened to the sling bar hooks when the sling strap is extended, but before the patient is lifted from the underlying surface.For safety, load must be applied to all sling bar hooks on the sling bar during the lift! although there was no serious injury associated with the reported event, if the sling bar hook were to break during patient lift, itcould contribute to a serious injury or death.Therefore, hillrom considers this complaint a reportable malfunction.

• Brand Name: UNIVERSAL SLINGB 450 QRH
• Common Device Name: LIFT, PATIENT, NON-AC-POWERED
• Manufacturer (Section D): LIKO AB; nedre vagen 100; lulea, norrbottens lan [se-25] 975 9 2; SW 975 92
• Manufacturer Contact: keighley crosthwaite ; 1069 state route 46 east; batesville, IN 47006 ; 8129310130
• MDR Report Key: 18354896
• Report Number: 8030916-2023-00086
• Device Sequence Number: 12368757
• Product Code: FSA
• UDI-Device Identifier: 00887761982284
• UDI-Public: 010088776198228411220405
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 12/19/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Model Number: 3156085
• Was Device Available for Evaluation?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/05/2023
• Initial Report FDA Received Date: 12/19/2023
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown