MAUDE Adverse Event Report: Invamex JASMINE PATIENT LIFT; Non-AC Powered Patient Lift

Model Number	Jasmine
Medical Device Problem Code	Crack (1135)
Health Effect - Clinical Code	Fall (1848)
Date of Event	07/11/2026
Type of Reportable Event	Serious Injury

• Brand Name: JASMINE PATIENT LIFT
• Common Device Name: Non-AC Powered Patient Lift
• Manufacturer (Section D): Invamex; avenida el puente s/n; parque industrial el puente ma; reynosa, tamaulipas 88783 ; MX 88783
• Manufacturer (Section G): Invamex; avenida el puente s/n; parque industrial el puente ma; reynosa, tamaulipas 88783 ; MX 88783
• Manufacturer Contact: dona bhamra ; one invacare way; elyria, OH 44035 ; +1(800)333-6900
• MDR Report Key: 50163601
• Report Number: 9616091-2026-00007
• Device Sequence Number: 15917679
• Product Code: FSA
• UDI-Device Identifier: 00841447102892
• UDI-Public: 00841447102892
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 08/06/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: Jasmine
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Initial Date Received by Manufacturer: 07/13/2026
• Initial Report FDA Received Date: 08/06/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Female