FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2895728 · Received January 3, 2013

Report

Report Number
3003433498-2013-00003
Event Type
Malfunction
Date Received
January 3, 2013
Report Date
January 3, 2013
Manufacturer
CARROLL HEALTHCARE
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATES THE JUNCTION BOX IS NOT WORKING. NO REPORT OF INJURY OR ILL EFFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2572 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHCS7

Patients

Seq Age Sex Outcome Treatment
1 Other