MAUDE Adverse Event Report: AMERICAN NATIONAL BED , AC-POWERED ADJUSTABLE HOSPTIAL; BED, AC-POWERED ADJUSTABLE HOSPITAL

Model Number RA100

Device Problem Insufficient Information (3190)

Patient Problem Fall (1848)

Event Date 06/30/2018

Event Type  malfunction  

Event Description

Facility stated patient slipped off the right side of the bed.No injuries reported, no medical treatment received.This report reflects information received by fda in the form of a notification per 803.22 (b)(2).

• Brand Name: BED , AC-POWERED ADJUSTABLE HOSPTIAL
• Type of Device: BED, AC-POWERED ADJUSTABLE HOSPITAL
• Manufacturer (Section D): AMERICAN NATIONAL
• MDR Report Key: 17534718
• MDR Text Key: 321520829
• Report Number: MW5141618
• Device Sequence Number: 1
• Product Code: FNL
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 08/06/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/12/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Model Number: RA100
• Patient Sequence Number: 1