BEUDAMED
    FDA Adverse Event Other Summary report: N

    ULTRACARE ELECTRIC BED

    MDR report key: 3142276 · Received May 24, 2013

    Report

    Report Number
    3009402404-2013-00024
    Event Type
    Other
    Date Received
    May 24, 2013
    Date of Event
    April 18, 2013
    Report Date
    May 22, 2013
    Manufacturer
    JOERNS HEALTHCARE
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4) IS SENDING THE REPORT TO THE MFR.

    Description of Event or Problem · 1

    IT WAS REPORTED TO THE MFR BY THE FACILITY (B)(6), PER THE FAMILY MEMBER, THEY WERE LOWERING THE BED AND THE HYDRAULICS GAVE OUT. THE BED CAME DOWN AND SMASHED THE FAMILY MEMBER'S LEFT FOOT. SEVERAL CALLS WERE MADE TO THE FACILITY ON MULTIPLE OCCASIONS WITH NO RESPONSE FROM THE FACILITY. (B)(6), A SERVICE REPAIR COMPANY, WENT TO THE FACILITY ON (B)(6) 2013. (B)(4) PERFORMED A VISUAL INSPECTION AND BED FUNCTION TESTING ON THE BED. THE BED PERFORMED AS INTENDED WITH NO FAILURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    230538 ULTRACARE ELECTRIC BED PATIENT HOSPITAL BED FNL JOERNS HEALTHCARE UCXTBED

    Patients

    Seq Age Sex Outcome Treatment
    1