FDA Adverse Event
Other
Summary report: N
EASY CARE ELECTRIC BED
MDR report key: 3177563
·
Received June 13, 2013
Report
- Report Number
- 3009402404-2013-00032
- Event Type
- Other
- Date Received
- June 13, 2013
- Date of Event
- June 8, 2013
- Report Date
- June 13, 2013
- Manufacturer
- JOERNS HEALTHCARE
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
JOERNS SENDING THE REPORT TO THE MANUFACTURER.
Description of Event or Problem · 1
IT WAS REPORTED TO THE MANUFACTURER BY THE FACILITY ((B)(6)), PER THE FACILITY THE CLIP THAT HOLDS THE FRAME BROKE AND LET GO. THE PRESSURE FROM THE PISTON DROVE IT FORWARD CAUSING DAMAGE TO THE FRAME AND A BENT MOTOR. THE HEAD PORTION OF THE BED FELL. THE RESIDENT WAS IN THE BED WHEN THE EVENT OCCURRED, BUT WAS NOT INJURED. (B)(4) HAS BEEN ENTERED INTO OUR SYSTEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 268751 | EASY CARE ELECTRIC BED | PT HOSPITAL BED | FNL | JOERNS HEALTHCARE | ECS3 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 89 YR |