BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FULL ELECTRIC FOOT SPRING 9153638201

    MDR report key: 4733816 · Received April 28, 2015

    Report

    Report Number
    1031452-2015-13655
    Event Type
    Malfunction
    Date Received
    April 28, 2015
    Report Date
    April 20, 2015
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    TBM STATES ONE OF THE WELDS HAS POPPED, BECAUSE THE FOOT SECTION WILL NOT LAY FLAT, IT LAYS UP HIGHER ON THE RIGHT SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    278576 FULL ELECTRIC FOOT SPRING 9153638201 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL INVACARE FLORIDA OPERATIONS 5410IVC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other