FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 2984634
·
Received February 28, 2013
Report
- Report Number
- 1525712-2013-01534
- Event Type
- Malfunction
- Date Received
- February 28, 2013
- Report Date
- February 4, 2013
- Manufacturer
- UNKNOWN
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
(B)(4) - IT WAS REPORTED BY THE CONSUMER THAT THE 9805 HYDRAULIC LIFT PUMP WAS ALLEGEDLY LEAKING OIL, AND THE HANDLE WAS BROKEN. THERE WAS NO PATIENT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 86290 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | UNKNOWN | 9805 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |