BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3090533 · Received May 2, 2013

    Report

    Report Number
    3004493922-2013-00962
    Event Type
    Malfunction
    Date Received
    May 2, 2013
    Report Date
    April 8, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ADON STATED THAT WHEN THEY WERE TRANSFERRING A PATIENT FROM THE BED THAT THE LIFT TIPPED OVER AS IT SEEMED LIKE TO LIFT DID NOT CENTER. THE WHEEL LOCKS WERE NOT ON AT THE TIME OF INCIDENT. FACILITY HAS REQUESTED AN IN-SERVICE FOR STAFF ON THE USE OF PATIENT LIFTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    192038 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU RPL600-1

    Patients

    Seq Age Sex Outcome Treatment
    1 86 Other