FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3243442 · Received July 23, 2013

Report

Report Number
1031452-2013-01439
Event Type
Malfunction
Date Received
July 23, 2013
Report Date
July 2, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE PROVIDER STATED THE END USER PLUGGED THE BED INTO AN UNGROUNDED OUTLET. DURING A STORM, LIGHTENING STRUCK AND THE END USER HEARD A POP. THE END USER STATED FIRE CAME OUT OF THE JUNCTION BOX CAUSING THE BED AND MATTRESS TO CATCH ON FIRE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343360 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE FLORIDA OPERATIONS BAR600IVC

Patients

Seq Age Sex Outcome Treatment
1 Other