BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BED, MANUAL

    MDR report key: 3223488 · Received July 12, 2013

    Report

    Report Number
    1031452-2013-01364
    Event Type
    Malfunction
    Date Received
    July 12, 2013
    Report Date
    June 21, 2013
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    FNJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT A WELD ON THE IH820DLX MANUAL BED BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    323157 BED, MANUAL 880.5120 FNJ INVACARE FLORIDA OPERATIONS IH820DLX

    Patients

    Seq Age Sex Outcome Treatment
    1 Other