BED, MANUAL VC5310

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a * report with the FDA on 2014-04-11 for BED, MANUAL VC5310 manufactured by Land America Health & Fitness.

Event Text Entries

[4464686] End user allegedly has no feeling in his right leg, was having spasms in bed rubbing his leg up against the bed rail which had a sharp edge, tbm stated the consumers right leg got all scratched up and they had to take him to the hospital, no additional information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1531186-2014-01350
MDR Report Key3747048
Report Source*
Date Received2014-04-11
Date of Report2014-03-14
Date of Event2014-03-13
Date Facility Aware2014-03-14
Report Date2014-04-11
Date Reported to FDA2014-04-11
Date Reported to Mfgr2014-04-11
Date Added to Maude2014-04-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBED, MANUAL
Generic Name880.5120
Product CodeFNJ
Date Received2014-04-11
Model NumberVC5310
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age6 MO
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLAND AMERICA HEALTH & FITNESS
Manufacturer Address25 NORTH 2ND RD XIAMEN FUJIAN PROVINCE 361022 CH 361022


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-04-11

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