BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3062259 · Received April 16, 2013

    Report

    Report Number
    1525712-2013-02934
    Event Type
    Malfunction
    Date Received
    April 16, 2013
    Report Date
    March 20, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    POTENTIAL FOR INJURY ASSOCIATED WITH A BROKEN CASTER ON AN UNKNOWN PATIENT LIFT. THIS CAN CAUSE INSTABILITY TO THE PRODUCT AND A POTENTIAL FOR THE PRODUCT TO TIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    162223 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other