BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIKORALL

    MDR report key: 1946031 · Received December 17, 2010

    Report

    Report Number
    8030916-2010-00054
    Event Type
    Malfunction
    Date Received
    December 17, 2010
    Date of Event
    November 1, 2009
    Report Date
    December 21, 2009
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    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

    FACILITY ALLEGES THAT THE PATIENT FELL FROM THE OVERHEAD LIFT. NO INJURY REPORTED AND NO DATE OF ALLEGED INCIDENT IS KNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIKORALL AC POWERED PATIENT LIFT FSA LIKO AB LIKORALL 242S

    Patients

    Seq Age Sex Outcome Treatment
    1