BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2041936 · Received March 29, 2011

    Report

    Report Number
    1525712-2011-00139
    Event Type
    Injury
    Date Received
    March 29, 2011
    Date of Event
    February 22, 2011
    Report Date
    March 29, 2011
    Manufacturer
    INVACARE
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CONSUMER WAS BEING TRANSFERRED BY A VISITING NURSES AIDE, AND THE LIFT ALLEGEDLY TIPPED WITH THE CONSUMER IN THE SLING. THE AGE OF THE LIFT IS UNK THE SERIAL NUMBER PROVIDED IS NOT COMPLETE. DEVICE SERVICE AND MAINTENANCE HISTORY IS UNK. NATURE OF THE COMPLAINT SUGGESTS A TRANSFER ERROR. USER GUIDES ARE CLEAR IN INSTRUCTING AS TO THE PROPER AND SAFE USE OF THE PRODUCT. MALFUNCTION IS NOT CONFIRMED.

    Description of Event or Problem · 1

    THE LIFT ALLEGEDLY TIPPED OVER WITH THE CONSUMER IN THE SLING. NO SERIOUS INJURY IS ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE 9805

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Required Intervention