FDA Adverse Event Malfunction Summary report: N

GOLVO

MDR report key: 3130459 · Received March 26, 2013

Report

Report Number
8030916-2013-00019
Event Type
Malfunction
Date Received
March 26, 2013
Manufacturer
LIKO AB
Product Code
FSA
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. A SUPPLEMENTARY REPORT WILL BE FILED AS SOON AS THE DEFECTIVE PARTS HAS BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION.

Description of Event or Problem · 1

REFERENCE TO IMPORTER REPORT # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125409 GOLVO NON-AC POWERED PATIENT LIFT FSA LIKO AB

Patients

Seq Age Sex Outcome Treatment
1