FDA Adverse Event
Malfunction
Summary report: N
SABINA
MDR report key: 3233781
·
Received July 10, 2013
Report
- Report Number
- 1824206-2013-03428
- Event Type
- Malfunction
- Date Received
- July 10, 2013
- Date of Event
- June 24, 2013
- Report Date
- June 24, 2013
- Manufacturer
- LIKO AB
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
MAST WELD BROKE WHERE LEG SUPPORT ATTACHES TO SABINA II LIFT. NO INJURY ALLEGED. REF MFR # 8030916-2013-00046.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 316467 | SABINA | NON-AC POWERED PATIENT LIFT | FSA | LIKO AB | SABINA II |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |