BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER LIFT W/LOW BASE-PLUS 9153633519

    MDR report key: 4356828 · Received December 23, 2014

    Report

    Report Number
    9616091-2014-02811
    Event Type
    Malfunction
    Date Received
    December 23, 2014
    Report Date
    December 3, 2014
    Manufacturer
    INVAMEX
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER CALLING IS THE CARETAKER FOR THE END USER. END USER HAS HAD THE LIFT FOR ABOUT A YEAR, POSSIBLY LANDAUER. CUSTOMER STATES A REAR LOCKING CASTER IS LOOSE AND THE MOTOR IS NOISY WHEN LOWERING THE END USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    848078 POWER LIFT W/LOW BASE-PLUS 9153633519 LIFT, PATIENT, NON-AC-POWERED FSA INVAMEX RPL450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other