FDA Adverse Event
Summary report: N
POWERED PATIENT ROTATION BED
MDR report key: 2818261
·
Received November 4, 2012
Report
- Report Number
- 1531186-2012-01323
- Date Received
- November 4, 2012
- Report Date
- November 1, 2012
- Manufacturer
- LAND AMERICA HEALTH & FITNESS
- Product Code
- IKZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
(B)(4). CONSUMER CALLED TO REPORT THAT HIS BED HAS 2 FOOTBOARDS INSTEAD OF A HEADBOARD AND FOOTBOARD. CALLER IS STATING THAT HE BELIEVES THE MATTRESS THE DEALER PROVIDED HIM IS FROM ANOTHER MANUFACTURER. HE SAYS IT SAYS FUTURE FOAM INC. ON THE MATTRESS TAG. HE SAYS WHEN HE ELEVATES THE BED, THAT HE AND HIS MATTRESS FALL TO THE BOTTOM OF THE BED. MDR FILED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POWERED PATIENT ROTATION BED | 890.5225 | IKZ | LAND AMERICA HEALTH & FITNESS | 5310IVC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 | Other |