FDA Adverse Event
Malfunction
Summary report: N
CS BED 9153650455
MDR report key: 4448390
·
Received January 23, 2015
Report
- Report Number
- 1031452-2015-04454
- Event Type
- Malfunction
- Date Received
- January 23, 2015
- Date of Event
- December 1, 2014
- Report Date
- January 16, 2015
- Manufacturer
- INVACARE FLORIDA OPERATIONS
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY END USER THE MATTRESS IS FLIMSY. END USER ADVISED CONTACTED (B)(4) AND THEY SENT END USER AN OVERLAY FROM DRIVE BUT STILL HAVING THE ISSUE OF WHEN LAYS ON THE BED IT SINKS DOWN IN THE MIDDLE ABOUT 10 TO 15 INCHES. END USER ADVISED WHEN HE LAYS ON THE MATTRESS IT GOES COMPLETELY FLAT. END USER ADVISED HAVE BACK ISSUES AND IS UNCOMFORTABLE. END USER ADVISED BEFORE OVER LAY COULD FEEL SPRINGS WHEN LYING DOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 54995 | CS BED 9153650455 | BED, AC-POWERED ADJUSTABLE HOSPITAL | FNL | INVACARE FLORIDA OPERATIONS | 5310IVC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |