FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3080470 · Received April 26, 2013

Report

Report Number
1525712-2013-03302
Event Type
Malfunction
Date Received
April 26, 2013
Report Date
April 1, 2013
Manufacturer
UNKNOWN
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED.END USER ALLEGES THAT LEVER UNDER HANDLE IS GOING UNDER THE HANDLE AND STICKING.MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
182495 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9805

Patients

Seq Age Sex Outcome Treatment
1 35 Other