MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION LIKORALL OVERHEAD LIFT; LIFT, PATIENT, NON-AC-POWERED

Model Number	3122501
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Fall (1848)
Date of Event	06/09/2026
Type of Reportable Event	Death
Additional Manufacturer Narrative
H11: the device was evaluated on-site by a baxter qualified technician.During visual inspection, the technician identified a broken electric motor sprocket.A replacement part was ordered, and the device was repaired on (b)(6) 2024.Functional testing following repair confirmed the lift was operating as designed.On (b)(6) 2024, the hospital reported that its internal investigation concluded the lift did not contribute to the patient¿s death.Based on the information currently available, a causal relationship between the reported device malfunction, the alleged fall, and the patient¿s death has not been established.If any additional relevant information is received, the additional relevant information will be submitted in a supplemental report.
Event or Problem Description
It was reported the likorall 250 es lift (product code 3122501, serial number (b)(6) allegedly malfunctioned during a patient transfer, resulting in the patient falling onto the bed.The patient reportedly sustained injuries and subsequently passed away on (b)(6) 2024.The cause of death was not reported; nor was it confirmed whether the fall contributed to the patient¿s death.The hospital¿s internal investigation concluded that the lift did not contribute to the patient¿s death.A later inspection identified a broken motor sprocket, which was repaired, and the device was found to be functioning as designed.No further information was available at the time of this report.

• Brand Name: LIKORALL OVERHEAD LIFT
• 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 ; 2242705355
• MDR Report Key: 25706838
• Report Number: 8030916-2026-00084
• Device Sequence Number: 17398111
• Product Code: FSA
• UDI-Device Identifier: 00887761979482
• UDI-Public: (01)00887761979482(11)201221
• Combination Product (Y/N): N
• Initial Reporter State: PA
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 07/03/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Other
• Device Model Number: 3122501
• Device Catalogue Number: 3122501
• Device Lot Number: N/A
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/29/2024
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/05/2026
• Initial Report FDA Received Date: 07/03/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 12/21/2020
• 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
• Outcome Attributed to Adverse Event: Death
• Patient Sex: Unknown