BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 1821812 · Received August 26, 2010

    Report

    Report Number
    1824206-2010-09587
    Event Type
    Malfunction
    Date Received
    August 26, 2010
    Date of Event
    August 3, 2010
    Report Date
    August 3, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    IF THE PIN COMES OUT, THE SIDERAIL CENTER ARM ASSEMBLY WOULD BREAK AROUND THE PIN AND PREVENT THE SIDERAIL FROM LATCHING. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE LEFT SIDERAIL LOWER CENTER ARM ASSEMBLY IS BROKEN. THE ACCOUNT INDICATED THE COVER AND THE SHORT PIN ARE MISSING ON THE RAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC POWERED HOSPITAL BED FNL HILL-ROM INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1