BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OPERA PPP

    MDR report key: 397569 · Received May 31, 2002

    Report

    Report Number
    9617021-2002-00092
    Event Type
    Malfunction
    Date Received
    May 31, 2002
    Date of Event
    March 1, 2002
    Report Date
    April 30, 2002
    Manufacturer
    ARJO, LTD.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTS THE PATIENT WAS BEING TRANSFERRED TO WHEELCHAIR. ONCE IN POSITION CARERS ATTEMPTED TO RAISE THE LIFT BUT IT WOULD NOT MOVE. THE O.T. AND R.N. MOVED THE WHEELCHAIR FROM UNDER THE TRANSFER BAR WITH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OPERA PPP PATIENT LIFT FSA ARJO, LTD. KPBXXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN