FDA Adverse Event Malfunction Summary report: N

AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS

MDR report key: 4241693 · Received November 10, 2014

Report

Report Number
1525712-2014-07776
Event Type
Malfunction
Date Received
November 10, 2014
Report Date
October 22, 2014
Manufacturer
UNKNOWN
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER PROVIDER, X-BRACE IS BROKEN AT THE WELD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
723618 AC-POWERED ADJUSTABLE HOSPITAL BED, INCLUDING RAILS 880.5100 FNL UNKNOWN 6629

Patients

Seq Age Sex Outcome Treatment
1 Other