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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: UNKNOWN FULL-ELECTRIC 9153638225; BED, THERAPEUTIC, AC-POWERED, ADJUSTABLE HOME-USE

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UNKNOWN FULL-ELECTRIC 9153638225; BED, THERAPEUTIC, AC-POWERED, ADJUSTABLE HOME-USE Back to Search Results
Model Number UNKNOWN
Device Problems Fire (1245); Explosion (4006)
Patient Problem Unspecified Respiratory Problem (4464)
Event Date 10/04/2022
Event Type  Death  
Event Description
A letter was received from a technical services coordinator from fire cause analysis stating they are investigating a fire loss involving an invacare electrically powered bed.News reports indicated a fire occurred at an assisted living facility which resulted in the death of one resident and at least 5 residents transported to local hospitals.The news articles also indicated the fire was the result of oxygen cylinders that were present and was a human caused fire.
 
Manufacturer Narrative
This issue is being reported in an abundance of caution due to the involvement of an invacare bed.What limited information that is available was obtained from a letter received from a law firm sting only that an invacare bed was involved, and news reports which stated oxygen cylinders were involved and the cause was human activity.There was one death and numerous injuries associated with this event.Based on news reports its believed at least 5 of those injuries were transported to local hospitals.Attempts are currently ongoing to obtain further information regarding this incident.However, at this time limited information is available.Identifying information on the bed was unavailable and the only indication was that it was an invacare electrically powered bed.At this time the most likely underlying cause of this incident was the user smoking in the bed which resulted in oxygen cylinders that were present exploding.The identifying information on the oxygen cylinders hasn¿t been provided but has been requested.The manufacturing location of the bed is unknown therefore for filing purposes the manufacturing location will be selected as taylor street.If further information becomes available a follow-up medwatch will be filed.
 
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Brand Name
FULL-ELECTRIC 9153638225
Type of Device
BED, THERAPEUTIC, AC-POWERED, ADJUSTABLE HOME-USE
Manufacturer (Section D)
UNKNOWN
Manufacturer (Section G)
UNKNOWN
Manufacturer Contact
jason fiest
one invacare way
elyria, OH 44035
8003336900
MDR Report Key15736423
MDR Text Key303093553
Report Number1525712-2022-00010
Device Sequence Number1
Product Code LLI
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 10/27/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberUNKNOWN
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 10/12/2022
Initial Date FDA Received11/04/2022
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
Patient Outcome(s) Death; Hospitalization;
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