BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3971392 · Received July 31, 2014

    Report

    Report Number
    3008262382-2014-00442
    Event Type
    Malfunction
    Date Received
    July 31, 2014
    Report Date
    June 25, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    FACILITY SAYS THE ENTIRE ARM SEPARATED WITH PATIENT IN THE AIR BEING MOVED TO THE BED WHEN IT SNAPPED OFF AND DROPPED THE PATIENT TO THE FLOOR, GOING FOR X-RAYS THIS MORNING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    447215 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE REHABILITATION EQUIP RPA450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other