FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3160614
·
Received June 10, 2013
Report
- Report Number
- 3004493922-2013-01239
- Event Type
- Malfunction
- Date Received
- June 10, 2013
- Report Date
- May 14, 2013
- Manufacturer
- INVACARE SUZHOU
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER, HANGER BAR MOUNTING ON BOOM IS WORN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 260293 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVACARE SUZHOU | RPL600-2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |