BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INVACARE RELIANT 450 HOYER LIFT

    MDR report key: 11602106 · Received March 31, 2021

    Report

    Report Number
    MW5100463
    Event Type
    Malfunction
    Date Received
    March 31, 2021
    Date of Event
    March 8, 2021
    Report Date
    March 29, 2021
    Manufacturer
    INVACARE CORPORATION (TW)
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NH, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    USING INVACARE RELIANT 450 HOYER LIFT BOOM ARM PIN SNAPPED. INSPECTED 10/22/2020. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    497502 INVACARE RELIANT 450 HOYER LIFT LIFT, PATIENT, NON-AC-POWERED FSA INVACARE CORPORATION (TW) RELIANT 450

    Patients

    Seq Age Sex Outcome Treatment
    1 97 YR Other