BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER STAND-UP LIFT-PLUS 9153633660

    MDR report key: 4843395 · Received June 15, 2015

    Report

    Report Number
    3008262382-2015-01346
    Event Type
    Malfunction
    Date Received
    June 15, 2015
    Report Date
    June 20, 2015
    Manufacturer
    INVACARE REHABILITATION EQUIPMENT CO.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE A SUPPLEMENTAL RECORD WILL BE FILED.

    Description of Event or Problem · 1

    THE ARMS ON THE LIFT WERE DAMAGED WHEN THE LIFT ARRIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    389473 POWER STAND-UP LIFT-PLUS 9153633660 LIFT, PATIENT, NON-AC-POWERED FSA INVACARE REHABILITATION EQUIPMENT CO. RPS350-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other