FDA Adverse Event
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 2950885
·
Received February 8, 2013
Report
- Report Number
- 1531186-2013-00498
- Date Received
- February 8, 2013
- Date of Event
- January 9, 2013
- Report Date
- February 8, 2013
- Manufacturer
- LAND AMERICA HEALTH & FITNESS
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
A DEALER STATES ONE OF THE LEGS ON BASE GOT BENT WITH WHEEL APPROX 6 INCHES OFF GROUND. SON WAS USING TO LIFT MOTHER AND AS LEGS WERE SPREAD OPEN, THE LIFT TIPPED OVER AND END USER FELL TO GROUND. SHE WAS SORE, BUT NO MEDICAL INTERVENTION WAS NEEDED. A CALL WAS PLACED TO THE REPORTER. THE LIFT HAS BEEN REMOVED AND NOT REPLACED. ANY FURTHER INFORMATION RECEIVED WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 54380 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | LAND AMERICA HEALTH & FITNESS | 9805P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |