FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3022078 · Received March 26, 2013

Report

Report Number
1031452-2013-00610
Event Type
Malfunction
Date Received
March 26, 2013
Report Date
February 26, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
OSI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER ALLEGES A RIVET OPENED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
123418 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 OSI INVACARE FLORIDA OPERATIONS BAR600IVC

Patients

Seq Age Sex Outcome Treatment
1 Other