FDA Adverse Event Injury Summary report: N

SARA PLUS

MDR report key: 3081458 · Received April 4, 2013

Report

Report Number
3007420694-2013-00014
Event Type
Injury
Date Received
April 4, 2013
Manufacturer
ARJOHUNTLEIGH POLSKA SP. Z O.O.
Product Code
FNG
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER (B)(4) BY ARJOHUNTLEIGH (B)(4) ON BEHALF OF THE IMPORTER (B)(4). ADD'L INFO WILL BE PROVIDED UPON CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
139691 SARA PLUS ACTIVE FLOOR LIFTS FNG ARJOHUNTLEIGH POLSKA SP. Z O.O.

Patients

Seq Age Sex Outcome Treatment
1