BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 1830097 · Received September 7, 2010

    Report

    Report Number
    9615739-2010-00214
    Event Type
    Malfunction
    Date Received
    September 7, 2010
    Date of Event
    August 13, 2010
    Report Date
    August 13, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH REPLACED THE BUSHING AND REINSERTED THE BRAKE BAR IN THE BRAKE ROD TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE HEAD END BRAKE IS NOT HOLDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREASSIST BED AC POWERED HOSPITAL BED FNL HILL-ROM INC. 1170

    Patients

    Seq Age Sex Outcome Treatment
    1