BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3160585 · Received June 10, 2013

    Report

    Report Number
    3004493922-2013-01236
    Event Type
    Malfunction
    Date Received
    June 10, 2013
    Report Date
    May 13, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATED THAT THE SCREWS FOR THE BOOM ON THEIR 9805 HYDRAULIC PUMP NEED REPLACING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    260406 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU 9805

    Patients

    Seq Age Sex Outcome Treatment
    1 66 Other