FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3801649 · Received May 9, 2014

Report

Report Number
1525712-2014-02367
Event Type
Malfunction
Date Received
May 9, 2014
Report Date
April 15, 2014
Manufacturer
INVACARE TAYLOR STREET
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE BRACKET WHERE THE MOTOR ATTACHES IS BROKEN AT THE WELD. NO INJURIES OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
280121 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE TAYLOR STREET UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other