BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JASMINE PATIENT LIFT 9153649421

    MDR report key: 4722026 · Received April 23, 2015

    Report

    Report Number
    3008262382-2015-01165
    Event Type
    Malfunction
    Date Received
    April 23, 2015
    Report Date
    April 15, 2015
    Manufacturer
    INVACARE REHABILITATION EQUIPMENT CO.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE JASMINE LIFT IS NOT WORKING PROPERLY. NOTE: THE ITEMS LISTED 1171481 AND 148409 IN ORACLE UNDER THE ORDER NUMBER ARE FOR THE MAST AND THE KNOB(S). THE KNOBS HOLD THE MAST DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    270939 JASMINE PATIENT LIFT 9153649421 LIFT, PATIENT, NON-AC-POWERED FSA INVACARE REHABILITATION EQUIPMENT CO. JASMINE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other