FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3241554 · Received July 22, 2013

Report

Report Number
3004493922-2013-01581
Event Type
Malfunction
Date Received
July 22, 2013
Report Date
July 2, 2013
Manufacturer
INVACARE SUZHOU
Product Code
FNG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - FOLLOW UP #001. INITIAL (B)(4) ISSUED MFR. REPORT # 3004493922-2013-01581, INDICTING THE BRAND NAME AS AC POWERED LIFT WITH A COMMON DEVICE NAME OF 880.5500. THE CORRECT BRAND NAME IS NON-AC POWERED PATIENT LIFT WITH A COMMON DEVICE NAME OF 880.5510.

Description of Event or Problem · 1

PROVIDER STATES (B)(4) ACTUATOR WON'T GO UP OR DOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341769 NON AC-POWERED PATIENT LIFT 880.5510 FNG INVACARE SUZHOU RPS350-1

Patients

Seq Age Sex Outcome Treatment
1 Other