BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SABINA

    MDR report key: 2243511 · Received August 19, 2011

    Report

    Report Number
    8030916-2011-00057
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    July 27, 2011
    Report Date
    July 27, 2011
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    REPLACEMENT MAST WAS SENT TO THE FACILITY. FACILITY CONFIRMED THE LIFT IS NOW WORKING AS DESIGNED AND BACK IN OPERATION.

    Description of Event or Problem · 1

    FACILITY STAFF CALLED TO SAY THEY HAVE A SABINA II EE LIFT THAT THEY FEEL HAS A BROKEN WELD ON THE MAST/ARM. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SABINA NON-AC POWERED PATIENT LIFT FSA LIKO AB SABINA II EE

    Patients

    Seq Age Sex Outcome Treatment
    1