FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3852864 · Received June 6, 2014

Report

Report Number
1031452-2014-02056
Event Type
Malfunction
Date Received
June 6, 2014
Date of Event
April 22, 2014
Report Date
April 23, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE WELDING ON THE HEAD SPRING FRAME BROKE ON A VC53010 BED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
331018 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL INVACARE FLORIDA OPERATIONS VC5310

Patients

Seq Age Sex Outcome Treatment
1 54 Other