BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNO 102 EM

    MDR report key: 3956065 · Received June 20, 2014

    Report

    Report Number
    1824206-2014-01811
    Event Type
    Malfunction
    Date Received
    June 20, 2014
    Date of Event
    May 27, 2014
    Report Date
    May 27, 2014
    Manufacturer
    LIKO AB
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO HILL-ROM THAT THE SLINGBAR CENTER BOLT BROKE OFF. NO INJURY ALLEGED. REFERENCE MFR # 8030916-2014-00042.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    362948 UNO 102 EM NON-AC POWERED PATIENT LIFT FSA LIKO AB 2010003

    Patients

    Seq Age Sex Outcome Treatment
    1