FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2880393 · Received December 19, 2012

Report

Report Number
1031452-2012-00450
Event Type
Malfunction
Date Received
December 19, 2012
Report Date
December 18, 2012
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATED POPPED RIVETS WON'T ALLOW RAILS TO BE ATTACHED. IT WAS REPORTED THAT THE DEALER WAS ADVISED TO REPLACE THE FOOT SPRING. NO INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE FLORIDA OPERATIONS 5310IVC

Patients

Seq Age Sex Outcome Treatment
1 Other