FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 4131179 · Received October 1, 2014

Report

Report Number
1525712-2014-06522
Event Type
Malfunction
Date Received
October 1, 2014
Date of Event
September 12, 2014
Report Date
September 12, 2014
Manufacturer
UNKNOWN
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER THE STATE OF (B)(6), THE ONE SIDE OF THE RAILS HAD TOO MUCH GIVE IN IT AND THE NURSING HOME WAS CITED FOR A SAFETY ISSUE. THEY HAVE DETERMINED THAT THERE IS A PLASTIC PIECE MISSING FROM ONE OF THE TUBES IN THE BRACKET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
612950 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN ICCGBEDS

Patients

Seq Age Sex Outcome Treatment
1 Other