BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3013813 · Received March 20, 2013

    Report

    Report Number
    1031452-2013-00586
    Event Type
    Malfunction
    Date Received
    March 20, 2013
    Report Date
    February 20, 2013
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES PART THAT RAISES AND LOWERS THE BED, BACK END, ON THE SCREW JACK IS BROKEN (PLASTIC PIECE).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    115438 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE FLORIDA OPERATIONS 5410

    Patients

    Seq Age Sex Outcome Treatment
    1 Other