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