BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE 1000 ADVANCE FRAME

    MDR report key: 1780123 · Received May 6, 2010

    Report

    Report Number
    1824206-2010-06897
    Event Type
    Malfunction
    Date Received
    May 6, 2010
    Date of Event
    May 8, 2008
    Report Date
    May 8, 2008
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN REPLACED THE BED EXIT TAPESWITCH ASSEMBLY TO RESOLVE THE ISSUE. PURSUANT TO OUR RESPONSE TO WARNING LETTER 2008-DT-04, HILL-ROM IS CONTINUING ITS RETROSPECTIVE REVIEW OF EVENTS FOR REPORTABILITY. THIS EFFORT WILL CONTINUE UNTIL WE ARE CURRENT.

    Description of Event or Problem · 1

    TECHNICIAN ALLEGED THAT THE BED EXIT FAILED DURING PREVENTATIVE MAINTENANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE 1000 ADVANCE FRAME A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. P1105F53

    Patients

    Seq Age Sex Outcome Treatment
    1