BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3940588 · Received July 17, 2014

    Report

    Report Number
    1525712-2014-03759
    Event Type
    Malfunction
    Date Received
    July 17, 2014
    Report Date
    June 11, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER CAREGIVERS

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE EMERGENCY PIN SNAPPED FROM THE HOUSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    419048 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other