BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CHARGER

    MDR report key: 2243492 · Received August 19, 2011

    Report

    Report Number
    8030916-2011-00055
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    July 25, 2011
    Report Date
    July 25, 2000
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CUSTOMER WAS ADVISED TO REMOVE THE CHARGER FROM SERVICE AND THEY COMPLETED. REPLACEMENT CHARGER WAS PROVIDED TO CUSTOMER. LIFT IS BACK IN SERVICE.

    Description of Event or Problem · 1

    CUSTOMER ALLEGED THAT WIRES WERE COMING OUT OF THE CHARGER FOR THE LIFT AND WERE SPLICED. CHARGER WAS SPARKING. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHARGER ACCESSORY FSA LIKO AB

    Patients

    Seq Age Sex Outcome Treatment
    1