FDA Adverse Event
Malfunction
Summary report: N
GOLVO 7007 ES
MDR report key: 3913248
·
Received June 27, 2014
Report
- Report Number
- 1824206-2014-01864
- Event Type
- Malfunction
- Date Received
- June 27, 2014
- Date of Event
- June 4, 2014
- Report Date
- June 4, 2014
- Manufacturer
- LIKO, AB
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO HILL-ROM THAT THE LEFT LEG OF THE LIFT WAS SLIDING IN AND OUT BY ITSELF. NO INJURY ALLEGED. MFR - 8030916-2014-00046.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 376057 | GOLVO 7007 ES | NON-AC POWERED PATIENT LIFT | FSA | LIKO, AB | 20000010 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |