BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2855233 · Received December 3, 2012

    Report

    Report Number
    1525712-2012-02622
    Event Type
    Malfunction
    Date Received
    December 3, 2012
    Report Date
    December 3, 2012
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). THE DEALER REPORTED THAT THE UNKNOWN MODEL AND SERIAL NUMBERS PATIENT LIFT HAD A CRACKED MOTOR. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Other