BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CS BED 9153650455

    MDR report key: 4918598 · Received July 16, 2015

    Report

    Report Number
    3003433498-2015-00127
    Event Type
    Malfunction
    Date Received
    July 16, 2015
    Report Date
    June 22, 2015
    Manufacturer
    CARROLL HEALTHCARE
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL RECORD WILL BE FILED.

    Description of Event or Problem · 1

    HEAD DECKS ARE BROKEN AT A WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    462949 CS BED 9153650455 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL CARROLL HEALTHCARE IHCS7

    Patients

    Seq Age Sex Outcome Treatment
    1 Other