BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GOLVO

    MDR report key: 2071725 · Received April 20, 2011

    Report

    Report Number
    8030916-2011-00022
    Event Type
    Malfunction
    Date Received
    April 20, 2011
    Date of Event
    March 21, 2011
    Report Date
    March 21, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    PARTS WERE REPLACED ON THE LIFT. NO INJURY ALLEGED.

    Description of Event or Problem · 1

    FACILITY ALLEGED THAT THE GEAR RACK WAS FOUND TO BE BROKEN ON THE GOLVO LIFT. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GOLVO NON-AC POWERED PT LIFT FSA LIKO AB GOLVO 7007 ES

    Patients

    Seq Age Sex Outcome Treatment
    1