BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 3222822 · Received July 12, 2013

    Report

    Report Number
    1525712-2013-05689
    Event Type
    Malfunction
    Date Received
    July 12, 2013
    Report Date
    June 20, 2013
    Manufacturer
    UNKNOWN
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    MODEL NUMBER 6629 APPLIES TO THE BED RAILS.

    Description of Event or Problem · 1

    THE PROVIDER STATED THE CROSSBRACE BROKE AT THE WELD POINT WHERE THE RAIL SITS INTO THE CROSSBRACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    322843 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN 6629

    Patients

    Seq Age Sex Outcome Treatment
    1 Other