BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2923577 · Received January 22, 2013

    Report

    Report Number
    3004493922-2013-00151
    Event Type
    Malfunction
    Date Received
    January 22, 2013
    Report Date
    January 19, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES BACK RIGHT CASTER CLOSEST TO MAST IS STICKING AND NOT ROLLING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    31354 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU RPS350-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other