BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIBERTY LIFT

    MDR report key: 3113119 · Received June 7, 2006

    Report

    Report Number
    3001947547-2006-00001
    Event Type
    Malfunction
    Date Received
    June 7, 2006
    Report Date
    June 7, 2006
    Manufacturer
    BEKA-HOSPITEC
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ALL PART ARE ON LIFT. BOLT IS INTACT, NOT SHEARED OR STRIPPED. ALL COMPONENT DESIGN TO PREVENT HANGAR BAR BOLT FROM BACKING OUT WHERE IN PLACE. FACILITY HAS NOT RELEASED LIFT FOR EVALUATION.

    Description of Event or Problem · 1

    FACILITY REPORTS THE HANGAR BAR FELL FROM THE LIFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIBERTY LIFT PATIENT LIFT FSA BEKA-HOSPITEC 921055100

    Patients

    Seq Age Sex Outcome Treatment
    1 Other