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 |