BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3211916 · Received July 8, 2013

    Report

    Report Number
    1219590-2013-00055
    Event Type
    Malfunction
    Date Received
    July 8, 2013
    Report Date
    June 13, 2013
    Manufacturer
    INVACARE CLEVELAND STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES WILL NOT LIFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    309654 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE CLEVELAND STREET H605

    Patients

    Seq Age Sex Outcome Treatment
    1 Other