BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3018219 · Received March 22, 2013

    Report

    Report Number
    3003433498-2013-00166
    Event Type
    Malfunction
    Date Received
    March 22, 2013
    Report Date
    February 25, 2013
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE MALFUNCTION HAS NOT BEEN CONFIRMED.

    Description of Event or Problem · 1

    PROVIDER STATES HILO MOTOR FOR BED MAKING GRINDING NOISES AND NOT WORKING. NO FOLLOW UP REQUIRED. (P/N 1142183).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    119276 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHCS5

    Patients

    Seq Age Sex Outcome Treatment
    1 Other