FDA Adverse Event Malfunction Summary report: N

MAXI MOVE

MDR report key: 3121701 · Received May 9, 2013

Report

Report Number
9681684-2013-00042
Event Type
Malfunction
Date Received
May 9, 2013
Manufacturer
ARJOHUNTLEIGH MAGOG INC
Product Code
FSA
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

(B)(4) BY THE MFR ARJOHUNTLEIGH MAGOG INC ON BEHALF OF THE IMPORTER (B)(4). THE DEVICE WAS INSPECTED ON-SITE BY A REP OF THE MFR'S SALES AND SERVICE UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MFR. ADD'L INFO WILL BE PROVIDED FOLLOWING THE 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
204317 MAXI MOVE PASSIVE FLOOR LIFTS FSA ARJOHUNTLEIGH MAGOG INC

Patients

Seq Age Sex Outcome Treatment
1