BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VA 100 ULTRAGATER LIFT

    MDR report key: 38735 · Received September 5, 1996

    Report

    Report Number
    2183157-1996-00001
    Event Type
    Malfunction
    Date Received
    September 5, 1996
    Date of Event
    August 6, 1996
    Report Date
    August 6, 1996
    Manufacturer
    AEQUITRON MEDICAL, INC.
    Product Code
    ING
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORT OF ALLEGED "PLATFORM DROPPED WITH USER ON IT RESULTING IN INJURIES TO USER."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VA 100 ULTRAGATER LIFT AUTOMATIC VAN LIFT ING AEQUITRON MEDICAL, INC. VA-100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization