FDA Adverse Event Injury Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2041938 · Received March 29, 2011

Report

Report Number
1525712-2011-00140
Event Type
Injury
Date Received
March 29, 2011
Date of Event
March 16, 2009
Report Date
March 29, 2011
Manufacturer
INVACARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CONSUMER ALLEGEDLY THEIR BED COLLAPSED AND REQUIRED ADD'L SURGERY. PRODUCT HAS NOT BEEN RETURNED FOR EVAL AT THIS TIME SO IT IS UNK IF A MALFUNCTION OCCURRED OR IF OTHER FACTORS SUCH AS MISUSE OR ABUSE, OR LACK OF MAINTENANCE OR A SET UP ERROR MAY HAVE CAUSED OR CONTRIBUTED TO THIS INCIDENT. MFR IS ATTEMPTING TO OBTAIN PRODUCT FOR INSPECTION. MALFUNCTION IS NOT CONFIRMED.

Description of Event or Problem · 1

THE CONSUMER WAS LYING IN BED AND LOWERING THE BED WHEN THE BED ALLEGEDLY COLLAPSED, CAUSING HIM TO RE-INJURE HIS BACK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE PMI5000 BED

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention