BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 4142549 · Received October 6, 2014

    Report

    Report Number
    1525712-2014-06691
    Event Type
    Malfunction
    Date Received
    October 6, 2014
    Report Date
    September 18, 2014
    Manufacturer
    UNKNOWN
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, PUMP IS LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    624768 NON AC-POWERED PATIENT LIFT 880.5510 FSA UNKNOWN 9805P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other