BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3941845 · Received July 17, 2014

    Report

    Report Number
    3008262382-2014-00315
    Event Type
    Malfunction
    Date Received
    July 17, 2014
    Report Date
    June 11, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE SCREW THAT HOLDS THE BUSHING HORN ON IS PUSHING INTO THE ARM HORN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    419153 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE REHABILITATION EQUIP RPS350-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other