FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 2991810 · Received March 6, 2013

Report

Report Number
1031452-2013-00480
Event Type
Malfunction
Date Received
March 6, 2013
Report Date
February 8, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
OSI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER PROVIDER THE WELD IS NOT ALLOWING THE HEADSPRING TO ENGAGE FULLY INTO THE FOOTSPRING. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
95161 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 OSI INVACARE FLORIDA OPERATIONS BAR5000IVC

Patients

Seq Age Sex Outcome Treatment
1 Other