BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOLIFT QUICKRAISER 205 ACTIVE

    MDR report key: 18564271 · Received January 22, 2024

    Report

    Report Number
    MW5150644
    Event Type
    Malfunction
    Date Received
    January 22, 2024
    Date of Event
    January 2, 2024
    Report Date
    January 19, 2024
    Manufacturer
    ETAC A/S
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    AN 80-YEAR-OLD INCOMPLETE TETRAPLEGIA, DEPENDENT FOR TRANSFERS, WAS ISSUED A MOLIFT QUICKER RAISER 205 IN (B)(6) 2023. DURING TRANSFER FROM HIS WHEELCHAIR, THE LIFT SUPPORT BEAM SNAPPED IN HALF. NO INJURY OCCURRED TO THE PATIENT, AS HE WAS STILL OVER HIS WHEELCHAIR AT THE TIME OF DEFECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1953787 MOLIFT QUICKRAISER 205 ACTIVE LIFT, PATIENT, NON-AC-POWERED FSA ETAC A/S M29100

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Male MOLIFT QUICK RAISER 205: (B)(6) 2023-(B)(6) 2024.