BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3203260 · Received July 2, 2013

    Report

    Report Number
    3003433498-2013-00231
    Event Type
    Malfunction
    Date Received
    July 2, 2013
    Report Date
    June 10, 2013
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE TWO CASTERS ARE BROKEN ON THE BED; WAS UNSURE HOW ISSUE AROSE OR IF IT WAS CAUSED BY ABUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    300956 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL CARROLL HEALTHCARE CS3

    Patients

    Seq Age Sex Outcome Treatment
    1 Other