BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 4102337 · Received September 19, 2014

    Report

    Report Number
    3008262382-2014-01159
    Event Type
    Malfunction
    Date Received
    September 19, 2014
    Report Date
    August 28, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    TERRITORIAL BUSINESS MANAGER ALLEGES ONE OF THE CASTERS STEM BOLT IS BENT ON A 9805P HYDRAULIC LIFT. PATIENT WAS BEING TRANSPORTED TO BED FROM WHEELCHAIR. WHEN THE CASTER BENT IN, THE CAREGIVER SHIFTED THE PATIENT¿S WEIGHT TO THE LEFT SIDE CAUSING THE LEG TO BEND AND USER TO ALMOST FALL OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    584888 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE REHABILITATION EQUIP 9805P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other