BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3191854 · Received June 26, 2013

    Report

    Report Number
    9616091-2013-01092
    Event Type
    Malfunction
    Date Received
    June 26, 2013
    Report Date
    May 31, 2013
    Manufacturer
    INVAMEX
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER STATED THE EMERGENCY RELEASE IS BROKEN ON THE ACTUATOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291576 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FSA INVAMEX RPL450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other