FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3000746
·
Received March 12, 2013
Report
- Report Number
- 1525712-2013-01928
- Event Type
- Malfunction
- Date Received
- March 12, 2013
- Report Date
- February 14, 2013
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
(B)(4). THE DEALER REPORTED THAT THE IH1200 STRETCHER TRANSPORT LIFT HAND PENDANT HAD A SHORT. THERE WAS NO INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 103998 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVACARE TAYLOR STREET | IH1200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |