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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INVACARE TAYLOR STREET RMA-MATTRESSES/BEDDING/OVERBED TABLES; BED, AC-POWERED ADJUSTABLE HOSPITAL FNL

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INVACARE TAYLOR STREET RMA-MATTRESSES/BEDDING/OVERBED TABLES; BED, AC-POWERED ADJUSTABLE HOSPITAL FNL Back to Search Results
Model Number NA:BEDPRD
Device Problem Unstable (1667)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Type  malfunction  
Manufacturer Narrative
The bed model number and serial number were not provided.It was reported that the 6629-bed rails would not stay up.Multiple attempts have been made for additional information regarding the alleged complaint; it is not known if the rails were on an invacare bed or not.Return of device for evaluation is not anticipated at this time.Should additional information become available, this record will be updated accordingly.
 
Event Description
The 6629-bed rail he has, will not stay locked.
 
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Brand Name
RMA-MATTRESSES/BEDDING/OVERBED TABLES
Type of Device
BED, AC-POWERED ADJUSTABLE HOSPITAL FNL
Manufacturer (Section D)
INVACARE TAYLOR STREET
one invacare way
elyria OH 44036
Manufacturer (Section G)
INVACARE TAYLOR STREET
one invacare way
elyria OH 44036
Manufacturer Contact
jason fiest
one invacare way
elyria, OH 44036
8003336900
MDR Report Key6412615
MDR Text Key70424474
Report Number1531186-2017-00003
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 other
Type of Report Initial
Report Date 02/17/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/17/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberNA:BEDPRD
Date Manufacturer Received03/17/2017
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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