BEUDAMED
    FDA Adverse Event Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3171291 · Received June 14, 2013

    Report

    Report Number
    1531186-2013-02621
    Date Received
    June 14, 2013
    Report Date
    May 20, 2013
    Manufacturer
    LAND AMERICA HEALTH & FITNESS
    Product Code
    FNL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). USER SUSTAINED NECK AND BACK PAIN. MEDICAL INTERVENTION SOUGHT.

    Description of Event or Problem · 1

    HEAD SECTION COLLAPSED WHILE SITTING IN BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    271748 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL LAND AMERICA HEALTH & FITNESS 5410LOW

    Patients

    Seq Age Sex Outcome Treatment
    1 78 Other