FDA Adverse Event Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 2923437 · Received January 22, 2013

Report

Report Number
1531186-2013-00245
Date Received
January 22, 2013
Date of Event
December 18, 2012
Report Date
January 18, 2013
Manufacturer
LAND AMERICA HEALTH & FITNESS
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER STATES HYDRAULIC PUMP LEAKING. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
30873 NON AC-POWERED PATIENT LIFT 880.5510 FSA LAND AMERICA HEALTH & FITNESS 9805

Patients

Seq Age Sex Outcome Treatment
1 Other