FDA Adverse Event Malfunction Summary report: N

CENTURY SAF-LIFT

MDR report key: 10246 · Received October 8, 1993

Report

Report Number
1419652-1993-00038
Event Type
Malfunction
Date Received
October 8, 1993
Report Date
September 14, 1993
Manufacturer
CENTURY MANUFACTURING COMPANY
Product Code
FNG
Product Problem
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

WHILE RAISED ON LIFT, BASE LIFT SEPERATED DFROM FLOOR AND OLTS BROKE CAUSING LIFT TO TIP OVER. PATIENT RECEIVED BUMP ON HEAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CENTURY SAF-LIFT HYDROLIFT FNG CENTURY MANUFACTURING COMPANY SL-10 N/A

Patients

Seq Age Sex Outcome Treatment
1 *