BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIFT CHAIR

    MDR report key: 2421507 · Received December 29, 2011

    Report

    Report Number
    MW5023819
    Event Type
    Malfunction
    Date Received
    December 29, 2011
    Date of Event
    October 8, 2011
    Report Date
    November 29, 2011
    Manufacturer
    MEDLIFT & MOBILITY
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE MECHANISM OF THIS CHAIR COULD VERY WELL CATCH AN INFANT ARM OR LEG. IN MY CASE ONE OF MY HOUSE CATS GOT CAUGHT UP IN THE MECHANISM. PLEASE SEE MY ATTACHED LETTER TO THE MFR OF THIS CHAIR. MED LIFT AND MOBILITY, INC. REPORT NUMBER (B)(4). PURCHASED FROM (B)(6). PURCHASE DATE: (B)(6) 2011. THE PRODUCT WAS NOT DAMAGED BEFORE THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFT CHAIR LIFT CHAIR INN MEDLIFT & MOBILITY 5855-5TCH NA

    Patients

    Seq Age Sex Outcome Treatment
    1