FDA Adverse Event Malfunction Summary report: N

LIKORALL

MDR report key: 1945982 · Received December 17, 2010

Report

Report Number
8030916-2010-00069
Event Type
Malfunction
Date Received
December 17, 2010
Date of Event
May 3, 2009
Report Date
May 4, 2009
Manufacturer
LIKO AB
Product Code
FNG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS MDR IS PART OF A RETROSPECTIVE REVIEW IN ACCORDANCE WITH CAPA ACTIVITIES.

Description of Event or Problem · 1

THE LIKORALL BECAME DETACHED FROM THE RAIL. IT FELL DOWN DURING THE LIFT. THE PT FELL BACK ONTO THE BED. NO INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIKORALL AC POWERED PATIENT LIFT FNG LIKO AB LIKORALL 240

Patients

Seq Age Sex Outcome Treatment
1