BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2883298 · Received December 21, 2012

    Report

    Report Number
    3007231105-2012-00012
    Event Type
    Malfunction
    Date Received
    December 21, 2012
    Report Date
    December 20, 2012
    Manufacturer
    AQUATEC OPERATIONS GMBH
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER FROM CANADA HAS CALLED TO REPORT THAT THE MALFUNCTIONING WAS IN THE HAND CONTROL. NO INJURY NOTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON AC-POWERED PATIENT LIFT 880.5510 FSA AQUATEC OPERATIONS GMBH H605

    Patients

    Seq Age Sex Outcome Treatment
    1 Other