NLA HYDRAULIC LIFT W/ADJ BASE-PLUS 9153633522 NA:RHA450-1 RHA450-1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-04-11 for NLA HYDRAULIC LIFT W/ADJ BASE-PLUS 9153633522 NA:RHA450-1 RHA450-1 manufactured by Invacare Taylor Street.

Event Text Entries

[141624450] Invacare is filing this record in an abundance of caution. The patients husband included pictures with his notification. The first picture shows what appears to be a large laceration, there is nothing in the picture to assist in accurately judging size. The second picture shows the control handle. The control handle does not appear to have any deficiencies, nor are there any allegations of malfunction. The reported issue has not been verified, and the underlying cause cannot be definitively determined. The most probable cause is the patient hit her leg on the control handle with increased force from a spasmodic jerk caused by the tone in her r. Leg. Invacare requested the return of the lift. The husband declined to return to the lift stating it was functioning fine and he needs it to transport his wife. He said that he will try and return the pump in a couple of months. Should additional information become available, a supplemental record will be filed.
Patient Sequence No: 1, Text Type: N, H10


[141624451] The end user? S husband alleges the end user obtained a laceration to her shin while she was being raised on the rha450-1 lift. He relates the end user has a lot of tone in her right leg. The end user? S right toe got caught underneath the bottom of the pump handle and her leg came up forcibly and hit the bottom edge of the control handle causing a laceration to the shin. He stated that the end user has thin skin. No medical attention was sought, the laceration was treated by the husband with sterile strips.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1525712-2019-00008
MDR Report Key8504787
Report SourceCONSUMER
Date Received2019-04-11
Date of Report2019-03-13
Date of Event2019-03-11
Date Mfgr Received2019-03-13
Device Manufacturer Date2006-05-01
Date Added to Maude2019-04-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JASON FIEST
Manufacturer StreetONE INVACARE WAY
Manufacturer CityELYRIA OH 44035
Manufacturer CountryUS
Manufacturer Postal44035
Manufacturer Phone8003336900
Manufacturer G1INVACARE TAYLOR STREET
Manufacturer Street1200 TAYLOR STREET
Manufacturer CityELYRIA OH 44036
Manufacturer CountryUS
Manufacturer Postal Code44036
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNLA HYDRAULIC LIFT W/ADJ BASE-PLUS 9153633522
Generic NameLIFT, PATIENT, AC-POWERED
Product CodeFNG
Date Received2019-04-11
Model NumberNA:RHA450-1
Catalog NumberRHA450-1
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINVACARE TAYLOR STREET
Manufacturer Address1200 TAYLOR STREET ELYRIA OH 44036 US 44036


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-04-11

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