FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3233229 · Received July 18, 2013

Report

Report Number
3004493922-2013-01523
Event Type
Malfunction
Date Received
July 18, 2013
Report Date
June 26, 2013
Manufacturer
INVACARE SUZHOU
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE PROVIDER STATED THE HORN IS BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
333867 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU RPS350-2

Patients

Seq Age Sex Outcome Treatment
1 Other