FDA Adverse Event
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3123257
·
Received May 21, 2013
Report
- Report Number
- 1531186-2013-02207
- Date Received
- May 21, 2013
- Report Date
- April 24, 2013
- Manufacturer
- NEW PROKIN
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER STATES THE CLIP BROKE OFF THE SLING WHICH HANGS ON THE SWIVEL BAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 224442 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | NEW PROKIN | R130 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |