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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INVACARE FLORIDA OPERATIONS BARIATRIC BED FOOT 9153641517

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INVACARE FLORIDA OPERATIONS BARIATRIC BED FOOT 9153641517 Back to Search Results
Model Number BAR600IVC
Device Problems Device Inoperable (1663); Sparking (2595)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
A follow up will be sent if the product or additional information is obtained.
 
Event Description
The unit would not work at all.End user stated sparks came out of the wall and they heard a pop and the bed stopped working.
 
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Brand Name
BARIATRIC BED FOOT 9153641517
Type of Device
BARIATRIC BED
Manufacturer (Section D)
INVACARE FLORIDA OPERATIONS
2101 east lake mary blvd
sanford FL 32773
Manufacturer (Section G)
INVACARE FLORIDA OPERATIONS
2101 east lake mary blvd
sanford FL 32773
Manufacturer Contact
kevin guyton
one invacare way
elyria, OH 44035
8003336900
MDR Report Key5225346
MDR Text Key31463845
Report Number1031452-2015-16731
Device Sequence Number1
Product Code FNL
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Patient
Type of Report Initial
Report Date 10/26/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/16/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberBAR600IVC
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received10/26/2015
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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