BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 2921210 · Received January 17, 2013

    Report

    Report Number
    3003433498-2013-00030
    Event Type
    Malfunction
    Date Received
    January 17, 2013
    Report Date
    January 17, 2013
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE MOTOR ON AN IHECHOHC CARROLL HEALTHCARE BED IS NOT WORKING. NON OPERATIONAL MOTOR MAY CREATE THE POTENTIAL FOR A BED DROP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25872 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHECHOHC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other