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