FDA Adverse Event Malfunction Summary report: N

CS BED 9153650455

MDR report key: 5003084 · Received August 14, 2015

Report

Report Number
1525712-2015-04273
Event Type
Malfunction
Date Received
August 14, 2015
Date of Event
July 16, 2015
Report Date
July 21, 2015
Manufacturer
FLEXTRONICS
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, 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

LOCKING MECHANISMS DID NOT WORK CORRECTLY AND BENT WHEN WE TRIED TO LOCK THE BED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
539506 CS BED 9153650455 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL FLEXTRONICS IHCS9FX

Patients

Seq Age Sex Outcome Treatment
1 Other