BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3020233 · Received March 25, 2013

    Report

    Report Number
    3004493922-2013-00667
    Event Type
    Malfunction
    Date Received
    March 25, 2013
    Report Date
    February 28, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PROVIDER STATES CYLINDER IS LEAKING. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    122624 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU 9099

    Patients

    Seq Age Sex Outcome Treatment
    1 Other