FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3051786 · Received April 10, 2013

Report

Report Number
3004493922-2013-00790
Event Type
Malfunction
Date Received
April 10, 2013
Report Date
March 13, 2013
Manufacturer
INVACARE SUZHOU
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

THE PATIENT LIFT WAS DESCENDING UNINTENTIONALLY WHILE IN USE. THIS ISSUE COULD CAUSE THE PATIENT TO BE DROPPED FROM THE LIFT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
152965 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU GHS350

Patients

Seq Age Sex Outcome Treatment
1 Other