BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIKING

    MDR report key: 2915726 · Received January 11, 2013

    Report

    Report Number
    8030916-2013-00005
    Event Type
    Malfunction
    Date Received
    January 11, 2013
    Date of Event
    December 13, 2012
    Report Date
    December 13, 2012
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS STATED BY THE CUSTOMER THAT THE HANDLE BAR WAS PULLED OFF OF THE MAST ON A VIKING S LIFT WHEN TRYING TO MOVE IT. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    17866 VIKING NON-AC POWERED PATIENT LIFT FSA LIKO AB VIKING S

    Patients

    Seq Age Sex Outcome Treatment
    1