FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3191687
·
Received June 26, 2013
Report
- Report Number
- 9616091-2013-01088
- Event Type
- Malfunction
- Date Received
- June 26, 2013
- Report Date
- May 31, 2013
- Manufacturer
- INVAMEX
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
THE LIFT DID NOT HOLD THE PATIENTS' WEIGHT AND LOWERED WHILE IN USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 290129 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVAMEX | GRPL450-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 | Other |