BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3902441 · Received June 30, 2014

    Report

    Report Number
    1525712-2014-03248
    Event Type
    Malfunction
    Date Received
    June 30, 2014
    Report Date
    May 28, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER MAST BENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    381115 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET RPL450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other