BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2950701 · Received February 8, 2013

    Report

    Report Number
    1525712-2013-00933
    Event Type
    Malfunction
    Date Received
    February 8, 2013
    Report Date
    February 7, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER DEALER THE UPHOLSTERY IS TEARING WHERE THE STRAPS ARE. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    54189 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET HTR500

    Patients

    Seq Age Sex Outcome Treatment
    1 Other