BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACTIVITY CARRIAGE

    MDR report key: 3897077 · Received June 4, 2014

    Report

    Report Number
    8030916-2014-00038
    Event Type
    Malfunction
    Date Received
    June 4, 2014
    Date of Event
    May 7, 2014
    Report Date
    May 7, 2014
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    HILL-ROM IS FILING THIS AS AN INITIAL REPORT AND ARE CONDUCTING A COMPLAINT INVESTIGATION AFTER RECEIVING THE PRODUCT BACK FROM THE CUSTOMER.

    Description of Event or Problem · 1

    (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    328075 ACTIVITY CARRIAGE NON-AC POWERED PATIENT LIFT FSA LIKO AB

    Patients

    Seq Age Sex Outcome Treatment
    1