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 |