BEUDAMED
    FDA Adverse Event Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2935643 · Received January 30, 2013

    Report

    Report Number
    1531186-2013-00339
    Date Received
    January 30, 2013
    Report Date
    January 29, 2013
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES PUMP WON'T STAY UP. THE DEVICE HAS BEEN IN USE FOR APPROXIMATELY 1-3 MONTHS. LOWERS WITH WEIGHT. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    41168 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9099P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other