FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2984627 · Received February 28, 2013

Report

Report Number
1031452-2013-00424
Event Type
Malfunction
Date Received
February 28, 2013
Date of Event
February 4, 2013
Report Date
February 4, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
OSI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). THE DEALER REPORTED THAT THE BAR600IVC BARIATRIC BED PLASTIC GEAR BOX LOCATED AT THE BEDEND FLEXES OUTWARD CAUSING THE SHORT SLIVER DRIVESHAFT TO SKIP OUT OF POSITION. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
87817 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 OSI INVACARE FLORIDA OPERATIONS BAR600IVC

Patients

Seq Age Sex Outcome Treatment
1 Other