FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3200324 · Received July 1, 2013

Report

Report Number
3003433498-2013-00228
Event Type
Malfunction
Date Received
July 1, 2013
Report Date
June 5, 2013
Manufacturer
CARROLL HEALTHCARE
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT THE FOOT END ON AN IHCS5 CARROLL HEALTHCARE BED IS DRIFTING DOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
299702 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE IHCS5

Patients

Seq Age Sex Outcome Treatment
1 Other