BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AC-POWERED PATIENT LIFT

    MDR report key: 1984551 · Received February 2, 2011

    Report

    Report Number
    1525712-2011-00033
    Event Type
    Injury
    Date Received
    February 2, 2011
    Report Date
    February 2, 2011
    Manufacturer
    INVACARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CARE PERSONNEL WERE LIFTING A PT WHEN A COMPONENT ALLEGEDLY BROKE AND THE CONSUMER HAD FALLEN. THE PT ALLEGEDLY REQUIRED MEDICAL INTERVENTION IN THE HOSPITAL. LIFT IS CURRENTLY NOT IN SERVICE. THE LIFT IS OVER 10 YRS OLD AND NO LONGER IN WARRANTY. THE LIFT MAINTENANCE AND SERVICE HISTORY IS UNK. MALFUNCTION NOT CONFIRMED. PRODUCT HAS NOT BEEN RETURNED FOR EVAL AT THIS TIME SO IT IS UNK IF A MALFUNCTION OCCURRED OR IF OTHER FACTORS SUCH AS MISUSE, ABUSE, LACK OF MAINTENANCE THAT MAY HAVE CAUSED OR CONTRIBUTED TO THIS ALLEGED INCIDENT. MFR IS ATTEMPTING TO OBTAIN PRODUCT FOR INSPECTION.

    Description of Event or Problem · 1

    THE CONSUMER WAS BEING TRANSPORTED WHEN THE SPINDLE FROM THE BOOM ALLEGEDLY BROKE OFF, CAUSING THE CONSUMER TO FALL ON TO THE FLOOR. NO SERIOUS INJURY IS ALLEGED AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AC-POWERED PATIENT LIFT 880.5500 FNG INVACARE RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Required Intervention