BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3974908 · Received August 4, 2014

    Report

    Report Number
    1525712-2014-04310
    Event Type
    Malfunction
    Date Received
    August 4, 2014
    Report Date
    June 30, 2014
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER THE DEALER, THE PIN IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    453191 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9805P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other