BEUDAMED
    FDA Adverse Event Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2843244 · Received November 21, 2012

    Report

    Report Number
    1531186-2012-01438
    Date Received
    November 21, 2012
    Date of Event
    October 23, 2012
    Report Date
    November 21, 2012
    Manufacturer
    LAND AMERICA HEALTH & FITNESS
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    MDR DECISION DATE: (B)(6) 2012. NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER STATES THAT THE SCREWS BY THE HYDRAULIC PUMP HANDLE HAVE SNAPPED OFF. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON AC-POWERED PATIENT LIFT 880.5510 FSA LAND AMERICA HEALTH & FITNESS GHS350

    Patients

    Seq Age Sex Outcome Treatment
    1 45 Other