FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2962739 · Received February 14, 2013

Report

Report Number
3003433498-2013-00106
Event Type
Malfunction
Date Received
February 14, 2013
Report Date
February 14, 2013
Manufacturer
CARROLL HEALTHCARE
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

MDR DECISION DATE: (B)(6). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER DEALER, THE HEAD ACTUATOR IS NOT WORKING. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
66155 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE CS7

Patients

Seq Age Sex Outcome Treatment
1 Other