BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAMTEC

    MDR report key: 2081851 · Received May 3, 2011

    Report

    Report Number
    MW5020514
    Event Type
    Malfunction
    Date Received
    May 3, 2011
    Date of Event
    April 24, 2011
    Report Date
    May 3, 2011
    Manufacturer
    CAMTEC
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BARIATRIC PT ON BARI BED. HEAD OF BED ELEVATED WHEN STAFF LEFT THE ROOM. STAFF HEARD A LOUD NOISE AND WENT IN TO FIND THE HEAD OF BED FLAT. RECOVER CARE CHECKED THE BED WITH NO VISUAL DEFECTS SEEN. RECOVER CARE REPLACED THE ACTUATOR AND WILL SEND THE OLD ONE TO THE BED COMPANY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAMTEC BARI BED FNL CAMTEC 3975S

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR