BEUDAMED
    FDA Adverse Event Other Summary report: N

    EASY CARE ELECTRIC BED

    MDR report key: 3125311 · Received May 16, 2013

    Report

    Report Number
    3009402404-2013-00023
    Event Type
    Other
    Date Received
    May 16, 2013
    Date of Event
    April 25, 2013
    Report Date
    May 16, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MFR BY THE USER FACILITY ((B)(6)), PER THE FACILITY, THE HI/LO ACTUATOR PIN CAME OUT CAUSING THE LEG TO DROP, BENDING THE ACTUATOR. THERE WAS A RESIDENT IN THE BED, BUT NO ONE WAS INJURED. CONTACT WAS MADE ON (B)(4) 2013 WITH (B)(6) AT THE FACILITY, WHO STATED THAT I SHOULD CONTACT MAINTENANCE. CONTACT WAS MADE ON (B)(4) 2013 WITH (B)(6), ENVIRONMENTAL, AT THE FACILITY, WHOM STATED THAT SHE WOULD CALL ME BACK. AFTER THE INITIAL CONTACT WITH (B)(6), SEVERAL CALLS WERE MADE TO THE FACILITY ON MULTIPLE OCCASIONS WITH NO FURTHER RESPONSE FROM THE FACILITY. (B)(4) WAS ENTERED INTO OUR SYSTEM. (B)(4) WAS INITIATED IN OUR SYSTEM FOR PRODUCT EVAL. THE PRODUCT HAS NOT BEEN RETURNED TO JOERNS AS OF THE WRITING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    218711 EASY CARE ELECTRIC BED PATIENT HOSPITAL BED FNL JOERNS HEALTHCARE ECS7

    Patients

    Seq Age Sex Outcome Treatment
    1