MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION VIKING M; LIFT PATIENT NON AC POWERED

Model Number	2040035
Medical Device Problem Code	Material Twisted/Bent (2981)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	11/04/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Upon inspection, the baxter technician found the corner of the base was bent and an internal bolt within middle beam was bent as well.Viking m mobile lift is a general-purpose lift with the intended use in; health care, intensive care and rehabilitation.Viking m mobile lift is an excellent aid in daily transfers of both adults and children.With 3 various lifting height positions viking m mobile lift gives a flexibility for most lifting situations such as lifting to and from wheel chair, bed, toilet and floor.Horizontal lifting can also be performed in combination with the liko¿ octostretch¿ accessory.The baxter technician replaced the middle beam to resolve the reported issue.Based on this information, no further actions are required at this time.
Event or Problem Description
A company representative - service personnel contacted technical service to report that viking m had an issue, lift tilted while under weight.This occurred during patient use.There was no patient/user injury, medical intervention, symptom, or adverse event reported.

• Brand Name: VIKING M
• Common Device Name: LIFT PATIENT NON AC POWERED
• Manufacturer (Section D): BAXTER HEALTHCARE CORPORATION; deerfield IL
• Manufacturer (Section G): LIKO AB; nedre vagen 100; lulea, norrbottens lan [se-25] 975 9 2; SW 975 92
• Manufacturer Contact: 25212 w. illinois route 120; round lake, IL 60073 ; 2242702068
• MDR Report Key: 23691527
• Report Number: 8030916-2025-00140
• Device Sequence Number: 9071835
• Product Code: FSA
• UDI-Device Identifier: 00887761981874
• UDI-Public: (01)00887761981874
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 12/02/2025

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: 2040035
• Device Catalogue Number: 2040035
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 11/04/2025
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 11/04/2025
• Initial Report FDA Received Date: 12/02/2025
• 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