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