FDA Adverse Event Malfunction Summary report: N

DRIVE

MDR report key: 17263731 · Received July 5, 2023

Report

Report Number
2438477-2023-00090
Event Type
Malfunction
Date Received
July 5, 2023
Report Date
July 5, 2023
Manufacturer
NANTONG SHUNLONG PHYSICAL THERAPY EQUIPMENT CO., L
Product Code
FNL
Product Problem
Yes
Report Source
Distributor report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A BED BY A HOSPICE CENTER WHO STATED THAT THE END USER "FELL DUE TO A BED MALFUNCTION." THERE WAS NO INFORMATION PROVIDED REGARDING ANY SPECIFIC DEFECT IN THE UNIT, OR WHETHER THE ISSUE WAS RELATED TO THE ASSEMBLY OF THE BED. DRIVE IS CURRENTLY INVESTIGATING THE INCIDENT, INCLUDING ATTEMPTING TO INSPECT THE UNIT, AND WILL FILE AN UPDATE IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1788267 DRIVE BED FNL NANTONG SHUNLONG PHYSICAL THERAPY EQUIPMENT CO., L 15216P

Patients

Seq Age Sex Outcome Treatment
1 Unknown