BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PAL

    MDR report key: 524910 · Received September 24, 2003

    Report

    Report Number
    524910
    Event Type
    Injury
    Date Received
    September 24, 2003
    Date of Event
    September 11, 2003
    Report Date
    September 16, 2003
    Manufacturer
    SUNRISE MACHINE & TOOL, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PAL HOYER LIFT - FULL BODY LIFT FSA SUNRISE MACHINE & TOOL, INC. PL250SR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Hospitalization