FDA Adverse Event Malfunction Summary report: N

POWERED PATIENT ROTATION BED

MDR report key: 3181048 · Received June 20, 2013

Report

Report Number
1031452-2013-01158
Event Type
Malfunction
Date Received
June 20, 2013
Date of Event
May 23, 2013
Report Date
May 24, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
IKZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES THE HEAD AND FOOT OF BED WILL RAISE, BUT WILL GO BACK DOWN AGAIN ON THEIR OWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
280869 POWERED PATIENT ROTATION BED 890.5225 IKZ INVACARE FLORIDA OPERATIONS 5310IVC

Patients

Seq Age Sex Outcome Treatment
1 Other