BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SEMI ELECTRIC FOOT SPRING 9153638202

    MDR report key: 4821842 · Received June 5, 2015

    Report

    Report Number
    1031452-2015-14196
    Event Type
    Malfunction
    Date Received
    June 5, 2015
    Report Date
    May 18, 2015
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    FOLLOW UP TO BE SENT IF ADDITIONAL INFORMATION IS RECEIVED

    Description of Event or Problem · 1

    THE DEALER STATES THAT ONE OF THE CROSSBARS BROKE AT A WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    366050 SEMI ELECTRIC FOOT SPRING 9153638202 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL INVACARE FLORIDA OPERATIONS 5310IVC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other