BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED PATIENT ROTATION BED

    MDR report key: 3222832 · Received July 12, 2013

    Report

    Report Number
    3003433498-2013-00234
    Event Type
    Malfunction
    Date Received
    July 12, 2013
    Report Date
    June 20, 2013
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    IKZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER REPORTED THE LEG LIFT MOTOR ON THE UNKNOWN BED IS STUCK IN THE INCLINE POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    322470 POWERED PATIENT ROTATION BED 890.5225 IKZ CARROLL HEALTHCARE UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other