FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3844620 · Received June 3, 2014

Report

Report Number
1031452-2014-01893
Event Type
Malfunction
Date Received
June 3, 2014
Date of Event
February 24, 2014
Report Date
February 26, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT A SMALL PIECE OF METAL, NEAR THE HEAD MOTOR MOUNT, SNAPPED OFF OF A BAR600IVC BARIATRIC BED WHILE THE END USER WAS OCCUPYING THE BED IN AN ELEVATED POSITION. THE HEAD SECTION DROPPED, JARRING THE USER. NO INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
324184 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE FLORIDA OPERATIONS BAR600IVC

Patients

Seq Age Sex Outcome Treatment
1 Other