BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3212074 · Received July 8, 2013

    Report

    Report Number
    1525712-2013-05482
    Event Type
    Malfunction
    Date Received
    July 8, 2013
    Report Date
    June 13, 2013
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE CROSS SUPPORT ON THE LIFT IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    309745 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN RPL450

    Patients

    Seq Age Sex Outcome Treatment
    1 Other