FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 3850286
·
Received June 5, 2014
Report
- Report Number
- 3007231105-2014-00024
- Event Type
- Malfunction
- Date Received
- June 5, 2014
- Report Date
- April 21, 2014
- Manufacturer
- AQUATEC OPERATIONS GMBH
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER BATH LIFT WAS RECEIVED WITH A BROKEN CLIP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 329589 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | AQUATEC OPERATIONS GMBH | 1471198 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |