BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1872693 · Received October 8, 2010

    Report

    Report Number
    1824206-2010-10380
    Event Type
    Malfunction
    Date Received
    October 8, 2010
    Date of Event
    September 15, 2010
    Report Date
    September 15, 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 TECHNICIAN REPLACED THE WORN BRAKE/STEER CASTER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES, THE BRAKE WOULD SET, BUT NOT HOLD.

    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