FDA Adverse Event Other Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2061080 · Received April 7, 2011

Report

Report Number
1525712-2011-00154
Event Type
Other
Date Received
April 7, 2011
Date of Event
March 10, 2011
Report Date
April 7, 2011
Manufacturer
MERITS HEALTH PRODUCTS CO., LTD.
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

USER ALLEGES HE JIGGLED THE CORD THAT GOES INTO THE CONTROL BOX AND OBSERVED SPARKS. USER HAS HAD THE BED SERVICED IN THE PAST AND CLAIMS THE SERVICE PERSONNEL WAS NOT ABLE TO CHECK THE ELECTRICAL ISSUE. THE DEALER WAS CONTACTED AND HAS ADVISED HE HAS ORDERED THE PARTS TO REPAIR THE USER'S BED. FILING SOLELY ON THE USER'S ALLEGATION OF SPARKS OBSERVED. 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 MAY HAVE CAUSED OR CONTRIBUTED TO THIS INCIDENT. MALFUNCTION IS NOT CONFIRMED.

Description of Event or Problem · 1

THE CONSUMER'S SON ALLEGES THERE WERE SPARKS COMING OUT OF THE CONTROL BOX WHEN HE JIGGLED THE CORD THAT GOES INTO THE CONTROL BOX. NO INJURY IS ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL MERITS HEALTH PRODUCTS CO., LTD. 3010 PROBASICIS BARRIA

Patients

Seq Age Sex Outcome Treatment
1 72 YR