BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 4130027 · Received September 30, 2014

    Report

    Report Number
    1525712-2014-06502
    Event Type
    Malfunction
    Date Received
    September 30, 2014
    Report Date
    September 11, 2014
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    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

    PROVIDER STATES THAT THE BATTERY CRACKED. PROVIDER STATES CONSUMER DOES NOT KNOW HOW THIS HAPPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    609356 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN H605

    Patients

    Seq Age Sex Outcome Treatment
    1 Other