BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2914715 · Received January 14, 2013

    Report

    Report Number
    3004493922-2013-00121
    Event Type
    Malfunction
    Date Received
    January 14, 2013
    Date of Event
    December 16, 2012
    Report Date
    January 14, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATES SCREWS WHICH ATTACH TO HANDLE HAVE BROKEN. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20109 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU GHS350

    Patients

    Seq Age Sex Outcome Treatment
    1 Other