BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1882669 · Received October 21, 2010

    Report

    Report Number
    1824206-2010-10607
    Event Type
    Malfunction
    Date Received
    October 21, 2010
    Date of Event
    September 28, 2010
    Report Date
    September 28, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE SIDERAIL PIVOT ARMS WERE DAMAGED, POSSIBLY DUE TO DAMAGE FROM THE ACCOUNT. THE TECHNICIAN REPLACED BOTH HEAD SIDERAILS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE SIDERAILS WILL NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4 MOTOR ADVANCE BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 1135

    Patients

    Seq Age Sex Outcome Treatment
    1