BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNO

    MDR report key: 2021899 · Received March 11, 2011

    Report

    Report Number
    8030916-2011-00011
    Event Type
    Malfunction
    Date Received
    March 11, 2011
    Date of Event
    February 14, 2011
    Report Date
    February 14, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). SUPPLEMENTARY REPORT WILL BE SUBMITTED ONCE THE DAMAGED PARTS ARE RETURNED TO THE MFR FOR ANALYSIS.

    Description of Event or Problem · 1

    PT WAS BEING LIFTED FROM THE COMMODE WHEN SHAFT OF THE LIFT BENT. NO INJURY WAS ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNO NON-AC POWERED PATIENT LIFT FSA LIKO AB UNO 102EM

    Patients

    Seq Age Sex Outcome Treatment
    1