FDA Adverse Event
Malfunction
Summary report: N
RETURN 7500I
MDR report key: 7584763
·
Received June 8, 2018
Report
- Report Number
- 3009481053-2018-00024
- Event Type
- Malfunction
- Date Received
- June 8, 2018
- Date of Event
- October 1, 2016
- Report Date
- April 10, 2019
- Manufacturer
- HANDICARE AB
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE INTERNAL INVESTIGATION INDICATES THAT THE EVENT WAS MOST LIKELY CAUSED BY USING A RECALLED PRODUCT IN THE FILED. THE CUSTOMER LOCATED OUTSIDE OF UNITED STATES IN A FOREIGN COUNTRY DID NOT RESPOND TO THE RECALL NOTIFICATION AND CONTINUED TO USE THE PRODUCT. AFTER THE INCIDENT THE CUSTOMER WAS INFORMED TO REMOVE THE PRODUCT FROM USE. HANDICARE AB AS A MANUFACTURER SEES NO FURTHER ACTIONS, BUT WILL CONTUNE TO MONITOR THIS TYPE OF INCIDENTS.
Additional Manufacturer Narrative · 1
OUTCOME OF INVESTIGATION IS PENDING. A FINAL REPORT WILL BE SUBMITTED UPON COMPLETION.
Description of Event or Problem · 1
DURING A TRANSFER, THE RISING LADDER BROKE ON BOTH SIDES. NO INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 426669 | RETURN 7500I | PATIENT LIFTS | FSA | HANDICARE AB | 7335 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |