BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1872694 · Received October 8, 2010

    Report

    Report Number
    1824206-2010-10382
    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
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE GROUND PIN MISSING FROM THE POWER CORD PLUG. THE TECHNICIAN REPLACED THE PLUG TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE BED LOST GROUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4 MOTOR ADVANCE BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 1165

    Patients

    Seq Age Sex Outcome Treatment
    1