FDA Adverse Event Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3222781 · Received July 12, 2013

Report

Report Number
1531186-2013-03125
Date Received
July 12, 2013
Report Date
June 19, 2013
Manufacturer
LAND AMERICA HEALTH & FITNESS
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CARETAKER STATES, THE SCREW THAT HOLDS THE HANDLE ON SNAPPED IN HALF. A CONTACT NUMBER FOR THE DEALER WAS PROVIDED

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
324133 NON AC-POWERED PATIENT LIFT 880.5510 FSA LAND AMERICA HEALTH & FITNESS 9805P

Patients

Seq Age Sex Outcome Treatment
1 Other