BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENCORE

    MDR report key: 3952083 · Received June 19, 2014

    Report

    Report Number
    1419652-2014-00162
    Event Type
    Injury
    Date Received
    June 19, 2014
    Date of Event
    May 15, 2014
    Report Date
    May 19, 2014
    Manufacturer
    ARJO MED AB LTD
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ARJOHUNTLEIGH RECEIVED A CUSTOMER COMPLAINT REPORTING THE FOLLOWING: DURING THE PT'S TRANSFER WITH ENCORE ACTIVE LIFT THE RIGHT BRAKE OF THE LIFT HAD NOT LOCKED CORRECTLY, THE LIFT MOVED SUDDENLY AND THE PT DROPPED BACK TO THE CHAIR. THE PT RECEIVED NO INJURIES AS A CONSEQUENCE OF THE EVENT. REF # MFR 9611530-2014-00038.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    360906 ENCORE FSA ARJO MED AB LTD KKA5020

    Patients

    Seq Age Sex Outcome Treatment
    1 Other