BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HLL-ROM 100 LOW BED

    MDR report key: 1794987 · Received August 9, 2010

    Report

    Report Number
    1824206-2010-09214
    Event Type
    Malfunction
    Date Received
    August 9, 2010
    Date of Event
    July 12, 2010
    Report Date
    July 12, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE MAIN CONTROLLER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE BED HAS NO FUNCTIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HLL-ROM 100 LOW BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 3930

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK