BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3020148 · Received March 25, 2013

    Report

    Report Number
    3004493922-2013-00663
    Event Type
    Malfunction
    Date Received
    March 25, 2013
    Report Date
    February 26, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES TOP OF PUMP HANDLE HAS BROKEN OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    121660 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU 9805P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other