BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2970793 · Received February 20, 2013

    Report

    Report Number
    9616091-2013-00270
    Event Type
    Malfunction
    Date Received
    February 20, 2013
    Report Date
    February 20, 2013
    Manufacturer
    INVAMEX
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER SAYS THE USER WAS STUCK IN THE LIFT UP IN THE AIR. DEALER WENT OUT TO SEE HER AND FIXED THE CONTROLLER AND ALL HAS BEEN REPAIRED. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    74701 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVAMEX RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other