FDA Adverse Event
Malfunction
Summary report: N
PAL PRO 1
MDR report key: 439483
·
Received January 20, 2003
Report
- Report Number
- 2132280-2003-00001
- Event Type
- Malfunction
- Date Received
- January 20, 2003
- Date of Event
- November 8, 2002
- Report Date
- November 25, 2002
- Manufacturer
- SUNRISE MACHINE AND TOOL, INC.
- Product Code
- FSA
- Report Source
- Manufacturer report
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
REPORTER HAD RESIDENT IN A LIFT WHEN THE ENTIRE LIFT STARTED TO MOVE BACKWARDS. USER HAD TO HOLD ON TO THE RESIDENT IN THE SLING. FEW SECONDS AFTER THAT THE CRANE PART OF THE LIFT STARTED TO DROP SO FAST, BUT IT WAS DROPPING AND USER COULD NOT STOP IT WITH THE BUTTONS ON THE LIFT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PAL PRO 1 | MECHANICAL LIFT | FSA | SUNRISE MACHINE AND TOOL, INC. | PC 35054 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |