FDA Adverse Event Other Summary report: N

BARIL0A BARIATRIC BED

MDR report key: 2560541 · Received April 26, 2012

Report

Report Number
2182305-2012-00014
Event Type
Other
Date Received
April 26, 2012
Date of Event
March 22, 2012
Report Date
April 23, 2012
Manufacturer
JOERNS HEALTHCARE
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO THE MFR, BY DEALER, (B)(4), PER DEALER, ALL WIRES ON THE BED WERE EXPOSED AND CAUGHT ON FIRE WITH PT ON THE BED. THE PT WAS UNINJURED. FURTHER INVESTIGATION CONFIRMED NO PT INJURY. PER FACILITY, "THE WIRE INSIDE THE WALL BROKE AND CAME LOOSE INSIDE THE PLUG. WHEN THE BED WAS PLUGGED IN, IT SPARKED AND CAUSES A FIRE. THE INSULATION ON THE SPIRAL CORD WAS LOOSE AND HAD EXPOSED WIRES WHICH MADE IT DOUBLY DANGEROUS". PER FACILITY, THE ISSUE WAS WITH THE PLUG, NOT THE BED. UPON RECEIPT OF THE BED, PRELIMINARY INVESTIGATION INDICATES USER ABUSE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BARIL0A BARIATRIC BED HOSPITAL BED FNL JOERNS HEALTHCARE BARIL0A

Patients

Seq Age Sex Outcome Treatment
1 43 YR