FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 4152677 · Received October 8, 2014

Report

Report Number
1525712-2014-06824
Event Type
Malfunction
Date Received
October 8, 2014
Date of Event
September 21, 2014
Report Date
September 22, 2014
Manufacturer
UNKNOWN
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

TWO SCREWS POPPED OUT AND THE FOOT SECTION WON'T RAISE SECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
631060 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN 5410IVC

Patients

Seq Age Sex Outcome Treatment
1 Other