BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 2990561 · Received March 5, 2013

    Report

    Report Number
    3004493922-2013-00519
    Event Type
    Malfunction
    Date Received
    March 5, 2013
    Report Date
    February 6, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER CAREGIVERS

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER'S CAREGIVER REPORTED THAT THE CAP ON HE PUMP BROKE OFF WHILE SHE WAS LIFTING THE END-USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    94247 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU 9805

    Patients

    Seq Age Sex Outcome Treatment
    1 50 Other