MAUDE Adverse Event Report: Savaria Concord Lifts Savaria; M-CLIN 2F 272 KG DLU WG NA

Model Number	M2F272-1002-02-NA
Medical Device Problem Code	Device Fell (4014)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/02/2026
Type of Reportable Event	Malfunction

• Brand Name: Savaria
• Common Device Name: M-CLIN 2F 272 KG DLU WG NA
• Manufacturer (Section D): Savaria Concord Lifts; 1625 boul. industriel; magog, quebec J1X5B 3; CA J1X5B3
• MDR Report Key: 50164825
• Report Number: 3007802293-2026-00004
• Device Sequence Number: 10076394
• Product Code: FSA
• UDI-Device Identifier: 10688503001549
• UDI-Public: 10688503001549
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Importer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 08/06/2026
• Report Date (Section F): 08/06/2026

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 Model Number: M2F272-1002-02-NA
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Distributor Facility Aware Date: 07/06/2026
• Event Location: Hospital
• Date Report to Manufacturer: 07/15/2026
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 08/06/2026
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Sex: Unknown