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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: LIKO AB GOLVO 7007 ES; NON-AC POWERED PATIENT LIFE

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LIKO AB GOLVO 7007 ES; NON-AC POWERED PATIENT LIFE Back to Search Results
Model Number P2000010
Device Problems Material Separation (1562); Device Operates Differently Than Expected (2913)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 07/16/2014
Event Type  malfunction  
Event Description
It has been reported to hill-rom that at the right leg of the base could be separated from the base of the lift and that the base widen mechanism was malfunctioning.
 
Manufacturer Narrative
A hill-rom technician investigated the lift.The lift was in disrepair and showed signs of abuse.The stop screw that holds the leg in the lift had been removed.The gear rack has been replaced and the device has been brought back to manufacturers specifications.
 
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Brand Name
GOLVO 7007 ES
Type of Device
NON-AC POWERED PATIENT LIFE
Manufacturer (Section D)
LIKO AB
nedrevagen 100
lulea 9759 2
SW  97592
Manufacturer Contact
joe fogel
nedrevagen 100
lulea 
SW  
20474700
MDR Report Key4048003
MDR Text Key4864092
Report Number8030916-2014-00069
Device Sequence Number1
Product Code FSA
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date 07/16/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/08/2014
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model NumberP2000010
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received07/16/2014
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured01/01/2005
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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