BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1870523 · Received October 6, 2010

    Report

    Report Number
    1824206-2010-10330
    Event Type
    Malfunction
    Date Received
    October 6, 2010
    Date of Event
    September 13, 2010
    Report Date
    September 13, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN SUPPORT REQUESTED THE ACCOUNT TO INSPECT THE HEAD DRIVE AND RETRACTING FRAME FOR ANY DAMAGE THAT MAY HAVE CAUSED THE ALLEGED HEAD SECTION DROP. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE PATIENT ALLEGED THAT THE HEAD SECTION SLAMMED DOWN. THE ACCOUNT STATED THERE WERE NO INJURIES. THE ACCOUNT INDICATED THAT CURRENTLY THE HEAD SECTION IS DOWN AND WILL NOT RISE ELECTRICALLY. HE HEARS A CLICK WHEN PRESSING THE HEAD UP SWITCH HOWEVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4 MOTOR ADVANCE BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK