BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 1634586 · Received March 5, 2010

    Report

    Report Number
    1634586
    Event Type
    Malfunction
    Date Received
    March 5, 2010
    Date of Event
    January 12, 2010
    Report Date
    March 5, 2010
    Manufacturer
    INVACARE CORPORATION
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US

    Narratives

    Description of Event or Problem · 1

    THE LEFT SIDE OF THE HEADBOARD BROKE APART FROM THE HOSPITAL BED AND CRANK FELL OFF. THE PATIENT WAS IN THE BED AT THE TIME THE BOARD FELL. THERE WAS NO HARM TO THE PATIENT. THE HOSPITAL BED WAS OWNED BY THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * HOSPITAL BED FNL INVACARE CORPORATION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR