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 |