BEUDAMED
    FDA Adverse Event Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3112673 · Received May 14, 2013

    Report

    Report Number
    1531186-2013-02058
    Date Received
    May 14, 2013
    Report Date
    April 17, 2013
    Manufacturer
    NEW PROKIN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FACILITY PERSONNEL STATES BUCKLE ON SLING IS BROKEN. ((B)(4)).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    212787 NON AC-POWERED PATIENT LIFT 880.5510 FSA NEW PROKIN R130

    Patients

    Seq Age Sex Outcome Treatment
    1 Other