FDA Adverse Event
Other
Summary report: N
EASYCARE SERIES BED
MDR report key: 3054868
·
Received April 8, 2013
Report
- Report Number
- 3009402404-2013-00017
- Event Type
- Other
- Date Received
- April 8, 2013
- Date of Event
- March 14, 2013
- Report Date
- April 8, 2013
- Manufacturer
- JOERNS HEALTHCARE
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(4) HEALTHCARE), PER FACILITY THE HEAD SECTION OF THE BED CAME UNCLIPPED FROM THE FRAME. THIS ACTION CAUSED THE HEAD SECTION OF THE BED TO COLLAPSE. THE RESIDENT WAS IN THE BED WHEN THE EVENT OCCURRED. NO INJURY OCCURRED. COMPLAINT (B)(4) WERE ENTERED IN TO OUR SYSTEM. CONTACTS WERE MADE TO THE FACILITY ((B)(4) HEALTHCARE) ON SEVERAL OCCASIONS WITH NO RESPONSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 142276 | EASYCARE SERIES BED | ELECTRIC HOSPITAL BED | FNL | JOERNS HEALTHCARE | ECS3 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |