FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3090760
·
Received May 2, 2013
Report
- Report Number
- 1525712-2013-03461
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Report Date
- April 8, 2013
- Manufacturer
- UNKNOWN
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER STATES THE HANGER IS BROKEN ON THE LIFT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 191308 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | UNKNOWN | 9805 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |