FDA Adverse Event
Malfunction
Summary report: N
NON AC-POWERED PATIENT LIFT
MDR report key: 4202638
·
Received October 27, 2014
Report
- Report Number
- 3008262382-2014-01712
- Event Type
- Malfunction
- Date Received
- October 27, 2014
- Report Date
- October 6, 2014
- Manufacturer
- INVACARE REHABILITATION EQUIP
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
OUT OF BOX FAILURE, THE BASE FRAME IS BENT IN THE LEGS ON THE RIGHT SIDE
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 683596 | NON AC-POWERED PATIENT LIFT | 880.5510 | FSA | INVACARE REHABILITATION EQUIP | RHL450-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |