BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

    MDR report key: 4201795 · Received October 27, 2014

    Report

    Report Number
    1525712-2014-07275
    Event Type
    Malfunction
    Date Received
    October 27, 2014
    Report Date
    October 6, 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

    THE PROVIDER STATES THE CABLE THAT GOES FROM THE HEAD SPRING TO THE JUNCTION BOX LOOKED BURNT ON THE END. THE PROVIDER DISCONNECTED BEFORE CALL COULD BE COMPLETE. THE SERIAL NUMBER WAS NOT AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    681682 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN BAR600

    Patients

    Seq Age Sex Outcome Treatment
    1 Other