FDA Adverse Event
Malfunction
Summary report: N
GH3 PATIENT LIFT
MDR report key: 9391739
·
Received November 29, 2019
Report
- Report Number
- 9391739
- Event Type
- Malfunction
- Date Received
- November 29, 2019
- Date of Event
- November 22, 2019
- Report Date
- November 26, 2019
- Manufacturer
- V. GULDMANN A/S
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
AS A PATIENT WAS BEING LIFTED WITH THE CEILING LIFT, ONE OF THE SLINGS POPPED OFF THE CROSSBAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1185339 | GH3 PATIENT LIFT | LIFT, PATIENT, AC-POWERED | FSA | V. GULDMANN A/S |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |