BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3181017 · Received June 20, 2013

    Report

    Report Number
    1531186-2013-02729
    Event Type
    Malfunction
    Date Received
    June 20, 2013
    Report Date
    May 24, 2013
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    TH EEND USER STATED THE PUMP WILL NOT STAY UP; IT GRADUALLY WILL GO BACK DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    279912 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9805

    Patients

    Seq Age Sex Outcome Treatment
    1 Other