FDA Adverse Event Malfunction Summary report: N

POWERED PATIENT ROTATION BED

MDR report key: 2902334 · Received January 8, 2013

Report

Report Number
1031452-2013-00055
Event Type
Malfunction
Date Received
January 8, 2013
Report Date
January 8, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
IKZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4) HAS BEEN INITIATED FOR THIS ISSUE. THE MALFUNCTION HAS NOT BEEN CONFIRMED.

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DRIFTS DOWN PER PROVIDER. MDR FILED

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
9753 POWERED PATIENT ROTATION BED 890.5225 IKZ INVACARE FLORIDA OPERATIONS 5310IVC

Patients

Seq Age Sex Outcome Treatment
1 Other