BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NON AC-POWERED PATIENT LIFT

    MDR report key: 4211444 · Received October 29, 2014

    Report

    Report Number
    3007231105-2014-00082
    Event Type
    Malfunction
    Date Received
    October 29, 2014
    Date of Event
    October 7, 2014
    Report Date
    October 7, 2014
    Manufacturer
    AQUATEC OPERATIONS GMBH
    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

    THE SPINDLE ON A (B)(4) BATH LIFT IS DAMAGED LOCK PINS AND DAMAGING PLASTIC BACK LEFT AND RIGHT SIDE BOLTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    693435 NON AC-POWERED PATIENT LIFT 880.5510 FSA AQUATEC OPERATIONS GMBH 1471198

    Patients

    Seq Age Sex Outcome Treatment
    1 Other