BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIKING M

    MDR report key: 3913225 · Received June 20, 2014

    Report

    Report Number
    1824206-2014-01812
    Event Type
    Malfunction
    Date Received
    June 20, 2014
    Date of Event
    May 28, 2014
    Report Date
    May 28, 2014
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO HILL-ROM THAT THE CHARGER CABLE FOR MOBILE LIFT HAS ALMOST BROKEN OFF AND SPARKS AND BURNT SMELL WAS NOTICED WHEN THE PLUG WAS PULLED FROM THE WALL SOCKET. NO INJURY ALLEGED. MFR - 8030916-2014-00043.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    362472 VIKING M NON-AC POWERED PATIENT LIFT FSA LIKO AB 2040015

    Patients

    Seq Age Sex Outcome Treatment
    1