BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KINAIR III

    MDR report key: 3760761 · Received April 2, 2014

    Report

    Report Number
    3760761
    Event Type
    Malfunction
    Date Received
    April 2, 2014
    Date of Event
    March 9, 2014
    Report Date
    April 2, 2014
    Manufacturer
    ARJOHUNTLEIGH INC.
    Product Code
    INX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI, US

    Narratives

    Description of Event or Problem · 1

    APPROXIMATELY FIVE MINUTES AFTER PLACING PATIENT IN TRENDLENBURG POSITON FOR PROCEDURE THE BED DROPPED AND A LARGE METAL PIECE CAME FLYING OUT FROM UNDER THE BED. BED WAS CHANGED IMMEDIATELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    196732 KINAIR III BED INX ARJOHUNTLEIGH INC. KASK00719 *

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR