BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3200518 · Received July 1, 2013

    Report

    Report Number
    3004493922-2013-01382
    Event Type
    Malfunction
    Date Received
    July 1, 2013
    Date of Event
    May 30, 2013
    Report Date
    June 6, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE FACILITY IS REPORTING THAT THE EMERGENCY PULL HAS BROKEN OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    300061 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE SUZHOU RPL450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other