FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 2940070
·
Received February 1, 2013
Report
- Report Number
- 3004493922-2013-00207
- Event Type
- Malfunction
- Date Received
- February 1, 2013
- Date of Event
- January 3, 2013
- Report Date
- January 31, 2013
- Manufacturer
- INVACARE SUZHOU
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
(B)(4). IT WAS REPORTED BY THE FACILITY STAFF THAT THE RHL450-1 HYDRAULIC LIFT PUMP WAS LEAKING GREASE. THERE WAS NO PATIENT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 44780 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVACARE SUZHOU | RHL450-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |