FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 3941399 · Received July 17, 2014

Report

Report Number
3008262382-2014-00312
Event Type
Malfunction
Date Received
July 17, 2014
Report Date
June 11, 2014
Manufacturer
INVACARE REHABILITATION EQUIP
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER ALLEGES THE SCREWS THAT HOLD THE BUSHING HORN ON ARE PUSHING INTO THE ARM HORN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418636 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE REHABILITATION EQUIP RPS350-1

Patients

Seq Age Sex Outcome Treatment
1 Other