FDA Adverse Event Malfunction Summary report: N

VIKING

MDR report key: 3173442 · Received June 4, 2013

Report

Report Number
8030916-2013-00030
Event Type
Malfunction
Date Received
June 4, 2013
Manufacturer
LIKO AB
Product Code
FSA
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

A SUPPLEMENTARY REPORT WILL BE FILED WHEN THE FAILED PART IS RETURNED.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247539 VIKING NON-AC POWERED PATIENT LIFT FSA LIKO AB

Patients

Seq Age Sex Outcome Treatment
1