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 |