BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3300428 · Received August 21, 2013

    Report

    Report Number
    9616091-2013-01592
    Event Type
    Malfunction
    Date Received
    August 21, 2013
    Report Date
    August 12, 2013
    Manufacturer
    INVAMEX
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE LIFT MODEL GRPL450-1 NEEDED THESE PART REPLACED UNDER WARRANTY (B)(4), HANDLE MOUNT 1064122, SCREW 1029134, SCREW 1132033 CROSS SUPPORT DUE TO THEM BEING LOOSE AND STRIPPED SERIAL NUMBER OF LIFT IS (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    406215 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVAMEX GRPL450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other