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