BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED PATIENT LIFT

    MDR report key: 4191634 · Received October 22, 2014

    Report

    Report Number
    3008262382-2014-01642
    Event Type
    Malfunction
    Date Received
    October 22, 2014
    Report Date
    September 30, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER; CONTROLLER IS NOT FUNCTIONING THE BASE ACTUATOR ON A RPS350-1 LIFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    670921 AC-POWERED PATIENT LIFT 880.5500 FSA INVACARE REHABILITATION EQUIP RPS350-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other