BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOSP BED ELECTRIC

    MDR report key: 647452 · Received November 18, 2005

    Report

    Report Number
    2182305-2005-00049
    Event Type
    Other
    Date Received
    November 18, 2005
    Date of Event
    October 1, 2005
    Report Date
    November 14, 2005
    Manufacturer
    OPTIMA HEALTHCARE, INC
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PER EVENT DESCRIPTION "HOSP BED USED IN HOME SETTING. HEAD OF THE BED WAS PARTIALLY UP WHEN IT SPONTANEOUSLY COLLAPSED. CODDER PIN HOLDING BED UP MUST HAVE SLIPPED ALLOWING BACK TO COLLAPSE. ALL PIECES ON VISUAL INSPECTION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSP BED ELECTRIC ELECTRIC BED FNL OPTIMA HEALTHCARE, INC IC-5890 *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other