FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 3946145 · Received July 21, 2014

Report

Report Number
1525712-2014-03790
Event Type
Malfunction
Date Received
July 21, 2014
Date of Event
May 28, 2014
Report Date
June 11, 2014
Manufacturer
UNKNOWN
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES THE HORIZONTAL BAR THAT RAISES THE HEAD SECTION OF THE BED IS BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
424708 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN 5410IVC

Patients

Seq Age Sex Outcome Treatment
1 Other