FDA Adverse Event Malfunction Summary report: N

NON AC-POWERED PATIENT LIFT

MDR report key: 4112550 · Received September 24, 2014

Report

Report Number
1525712-2014-06163
Event Type
Malfunction
Date Received
September 24, 2014
Report Date
September 2, 2014
Manufacturer
UNKNOWN
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE STRAPS ON A R101 SLING, FOR AN UNKNOWN LIFT, ARE FRAYED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
593193 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other