BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3033930 · Received April 3, 2013

    Report

    Report Number
    1031452-2013-00647
    Event Type
    Malfunction
    Date Received
    April 3, 2013
    Report Date
    March 7, 2013
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) THE DEALER REPORTED THAT THE IH820-3MDLX FULL-ELECTRIC BED HAD A BROKEN WELD. THERE WAS NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    137003 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 ITI INVACARE FLORIDA OPERATIONS IH820-3MDLX

    Patients

    Seq Age Sex Outcome Treatment
    1 Other