FDA Adverse Event Malfunction Summary report: N

INTOUCH ZU

MDR report key: 2581943 · Received May 2, 2012

Report

Report Number
1831750-2012-04779
Event Type
Malfunction
Date Received
May 2, 2012
Date of Event
April 4, 2012
Report Date
April 4, 2012
Manufacturer
FLEXTRONICS EMS CANADA
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

RESULTS: BRAKE LEVER.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES WERE NOT HOLDING. THERE WAS PT INVOLVEMENT AND A CAREGIVER WAS ALLEGEDLY INJURED, HOWEVER NO INJURIES OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTOUCH ZU A/C HOSPITAL BED FNL FLEXTRONICS EMS CANADA 2141 NA

Patients

Seq Age Sex Outcome Treatment
1