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 |