FDA Adverse Event Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3123303 · Received May 21, 2013

Report

Report Number
1531186-2013-02215
Date Received
May 21, 2013
Report Date
April 22, 2013
Manufacturer
LAND AMERICA HEALTH & FITNESS
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED THAT THE BRASS FITTING ON THE PUMP OF THE LIFT WAS BROKEN. THIS ISSUE COULD CAUSE THE END SER TO BE UNEXPECTEDLY DROPPED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
224706 NON AC-POWERED PATIENT LIFT 880.5510 FSA LAND AMERICA HEALTH & FITNESS 9805

Patients

Seq Age Sex Outcome Treatment
1 Other