BEUDAMED
    FDA Adverse Event Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2871006 · Received December 12, 2012

    Report

    Report Number
    1531186-2012-01724
    Date Received
    December 12, 2012
    Date of Event
    October 31, 2012
    Report Date
    December 12, 2012
    Manufacturer
    LAND AMERICA HEALTH & FITNESS
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER CLAIMS THE PUMP IS LEAKING. 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 9805P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other