MAUDE Adverse Event Report: INVACARE INVACARE HYDRAULIC PATIENT LIFT

Model Number 9850P

Device Problem Bent (1059)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 03/28/2017

Event Type  malfunction  

Event Description

Boom on patient lift bent in half with patient in the lift.Patient slide onto the floor as staff assisted slowly.No injuries.

• Brand Name: INVACARE HYDRAULIC PATIENT LIFT
• Type of Device: PATIENT LIFT
• Manufacturer (Section D): INVACARE ; 1 invacare way ; elyria OH 44035 4190
• MDR Report Key: 6503308
• MDR Text Key: 73331565
• Report Number: MW5069184
• Device Sequence Number: 1
• Product Code: FSA
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 04/04/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 9850P
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 04/17/2017
• Was Device Evaluated by Manufacturer?: No Information
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: N
• Patient Sequence Number: 1
• Treatment: CHEELCHAIR HIGH BACK ; FALL MATTRESS; HOME CARE BED; LIFT SLING LARGE.; PRESSURE RELIEF MATTRESS; WHEELCHAIR; WHEELCHAIR CUSHION
• Patient Age: 81 YR
• Patient Weight: 107