FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 4101681 · Received September 19, 2014

Report

Report Number
1525712-2014-06057
Event Type
Malfunction
Date Received
September 19, 2014
Date of Event
August 29, 2014
Report Date
August 29, 2014
Manufacturer
UNKNOWN
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER TOLD TBM THE RAIL BROKE AT WELD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
584665 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other