FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 2991906 · Received March 6, 2013

Report

Report Number
1525712-2013-01719
Event Type
Malfunction
Date Received
March 6, 2013
Report Date
February 11, 2013
Manufacturer
UNKNOWN
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER DEALER THE LEG IS BENT IN THE CENTER. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
95461 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9805P

Patients

Seq Age Sex Outcome Treatment
1 Other