FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3083769 · Received April 29, 2013

Report

Report Number
9616091-2013-00717
Event Type
Malfunction
Date Received
April 29, 2013
Report Date
April 3, 2013
Manufacturer
INVAMEX
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES EMERGENCY BUTTONS ON ACTUATOR AND CONTROLLER NOT WORKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
184036 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVAMEX RPL450-1

Patients

Seq Age Sex Outcome Treatment
1 Other