BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3884553 · Received June 19, 2014

    Report

    Report Number
    9616091-2014-01057
    Event Type
    Injury
    Date Received
    June 19, 2014
    Date of Event
    March 21, 2014
    Report Date
    May 21, 2014
    Manufacturer
    INVAMEX
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER CAREGIVERS

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). NO ALLEGED MALFUNCTION AS PATIENT GRABBED SLING STRAP CAUSING IT TO COME OFF THE LIFT. MGMT CALLED FACILITY BACK AND PROVIDED REQUESTED INFORMATION. NO FURTHER DETAIL PROVIDED AT THIS TIME.

    Description of Event or Problem · 1

    FACILITY STATES PATIENT GRABBED THE SLING STRAP CAUSING IT TO COME OFF THE HANGER BAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    360721 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVAMEX RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other