BEUDAMED
    FDA Adverse Event Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3000696 · Received March 12, 2013

    Report

    Report Number
    1531186-2013-01040
    Date Received
    March 12, 2013
    Report Date
    February 12, 2013
    Manufacturer
    LAND AMERICA HEALTH & FITNESS
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) IT WAS REPORTED BY THE FACILITY STAFF THAT THE 9805 HYDRAULIC PATIENT LIFT WAS INOPERABLE, AS IT WOULD NOT RAISE OR LOWER A PATIENT. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    103909 NON AC-POWERED PATIENT LIFT 880.5510 FSA LAND AMERICA HEALTH & FITNESS 9805

    Patients

    Seq Age Sex Outcome Treatment
    1 Other