BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GOLVO

    MDR report key: 3647493 · Received December 12, 2013

    Report

    Report Number
    1824206-2013-05597
    Event Type
    Malfunction
    Date Received
    December 12, 2013
    Date of Event
    November 25, 2013
    Report Date
    December 4, 2013
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COMPLAINT RECORD STATES THAT THE GEAR RACK WAS BROKEN. NO INJURY ALLEGED. MFR: 8030916-2013-00096.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    651289 GOLVO NON-AC POWERED PT LIFT FSA LIKO AB GOLVO 7007 ES

    Patients

    Seq Age Sex Outcome Treatment
    1