FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2973292 · Received February 21, 2013

Report

Report Number
3003433498-2013-00116
Event Type
Malfunction
Date Received
February 21, 2013
Report Date
February 21, 2013
Manufacturer
CARROLL HEALTHCARE
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

MDR DECISION DATE: (B)(4) HAS BEEN INITIATED FOR THIS ISSUE. THE MALFUNCTION HAS NOT BEEN CONFIRMED.

Description of Event or Problem · 1

PROVIDER STATES CUSTOMER HAS STATED HI/LO MOTOR NOT RAISING OR LOWERING BED AND ONLY HUMS. NO FOLLOW UP REQUIRED. S/N (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
76318 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHCS7

Patients

Seq Age Sex Outcome Treatment
1 Other