BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3191496 · Received June 26, 2013

    Report

    Report Number
    1525712-2013-05032
    Event Type
    Malfunction
    Date Received
    June 26, 2013
    Report Date
    May 30, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). MFR. REPORT # 1525712-2013-05032 INDICTING THE MANUFACTURER AS UNKNOWN. THE CORRECT MANUFACTURER, BASED ON THE AGE AND SERIAL NUMBER, IS INVACARE (B)(4).

    Description of Event or Problem · 1

    CONSUMER ALLEGES THE HYDRAULIC PUMP ON AN UNKNOWN HYDRAULIC LIFT IS LEAKING FLUID AND WOULD LOWER WITH WEIGHT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    290301 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other