BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 3980771 · Received August 5, 2014

    Report

    Report Number
    1525712-2014-04390
    Event Type
    Malfunction
    Date Received
    August 5, 2014
    Report Date
    July 3, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER STATES THE ACTUATOR WILL NOT RAISE OR LOWER THE BOOM. THE PROVIDER STATES THEY OPENED THE HOUSING AND THE GEARS ARE LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    458355 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE TAYLOR STREET RPA600-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other