BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 4211273 · Received October 29, 2014

    Report

    Report Number
    3008262382-2014-01764
    Event Type
    Malfunction
    Date Received
    October 29, 2014
    Report Date
    October 9, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE CONTROL BOX WILL WORK THE BASE BUT NOT THE MAST, AND IS MAKING A PINING NOISE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    692816 NON AC-POWERED PATIENT LIFT 880.5510 FSA INVACARE REHABILITATION EQUIP RPL450-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other