FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 2912507
·
Received January 13, 2013
Report
- Report Number
- 3004493922-2013-00105
- Event Type
- Malfunction
- Date Received
- January 13, 2013
- Report Date
- January 13, 2013
- Manufacturer
- INVACARE SUZHOU
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER SAYS THE PUMP LOWERS WITH WEIGHT. NO INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 19580 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVACARE SUZHOU | 9805P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |