BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NONE

    MDR report key: 2142602 · Received June 21, 2011

    Report

    Report Number
    1525712-2011-00286
    Event Type
    Malfunction
    Date Received
    June 21, 2011
    Date of Event
    May 24, 2011
    Report Date
    June 20, 2011
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. ALLEGEDLY, THE LIFT LOCKED UP AND THE CONSUMER FELL FROM THE SLING. ALLEGEDLY, THE CONSUMER'S MOTHER WAS TRYING TO HOLD THE LIFT UP TO GET HER SON BACK INTO BED AND HURT HER LEG. THE LIFT IS CURRENTLY STILL LOCKED UP. THE DEALER WAS CALLED TO SERVICE THE LIFT BECAUSE THE HYDRAULIC PUMP WAS "DEFLATING." THE CONSUMER IS A (B)(6).

    Description of Event or Problem · 1

    THE LIFT ALLEGEDLY LOCKED UP AND THE CONSUMER FELL FROM THE SLING. THE CONSUMER'S MOTHER WAS ALLEGEDLY TRYING TO HOLD THE LIFT UP TO GET HER SON BACK INTO BED AND HURT HER LEG. THE LIFT IS CURRENTLY STILL LOCKED UP. THE DEALER WAS CALLED TO SERVICE THE LIFT BECAUSE THE HYDRAULIC PUMP WAS "DEFLATING." NO SERIOUS INJURY IS ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE FSA UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR