FDA Adverse Event Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2940004 · Received February 1, 2013

Report

Report Number
1531186-2013-00360
Date Received
February 1, 2013
Date of Event
January 3, 2013
Report Date
January 30, 2013
Manufacturer
LAND AMERICA HEALTH & FITNESS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER END USER, THE CASTER IS BENT WHERE IT GOES INTO THE BED FRAME. PROVIDER STATED THAT THEY SET UP THIS BARIATRIC BED FOR A PATIENT AND IT WAS FINE. THE PATIENT CALLED BACK THE NEXT DAY TO SAY IT WAS BENT. PROVIDER STATED HE HAS NO IDEA HOW IT COULD HAVE BEEN POSSIBLE FOR THE CASTER TO BEND LIKE THIS. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
44281 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL LAND AMERICA HEALTH & FITNESS BARPKGIVC-1633

Patients

Seq Age Sex Outcome Treatment
1 Other