FDA Adverse Event
Malfunction
Summary report: N
GOLVO
MDR report key: 3233752
·
Received July 8, 2013
Report
- Report Number
- 1824206-2013-03388
- Event Type
- Malfunction
- Date Received
- July 8, 2013
- Date of Event
- March 20, 2013
- Report Date
- June 11, 2013
- Manufacturer
- LIKO AB
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
COMPOSITE HOOK ON UNIVERSAL SLING BAR BROKE DURING TRANSFER OF A PT. NO INJURY ALLEGED ON THE PT. THE CAREGIVER GOT HIT IN THE FACE BY THE SLING BAR, BUT NO VISUAL INJURIES ALLEGED. REF MFR # 8030916-2013-00042.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 311697 | GOLVO | NON-AC POWERED PATIENT LIFT | FSA | LIKO AB | GOLVO 7000 ES |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |