BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GOLVO

    MDR report key: 3451390 · Received October 4, 2013

    Report

    Report Number
    1824206-2013-04551
    Event Type
    Malfunction
    Date Received
    October 4, 2013
    Date of Event
    August 29, 2013
    Report Date
    September 18, 2013
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    GEAR RACK BROKEN. NO INJURY ALLEGED. MFR REFERENCE # 8030916-2013-00069.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    503579 GOLVO NON-AC POWERED PATIENT LIFT FSA LIKO AB GOLVO 7007 ES

    Patients

    Seq Age Sex Outcome Treatment
    1