BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANTA BED

    MDR report key: 1882708 · Received October 21, 2010

    Report

    Report Number
    1824206-2010-10610
    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
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT ISOLATED P19 AND UNPLUGGED P22 BUT THE ISSUE REMAINED. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE KNEE UP IS NOT WORKING. IF IT IS IN THE RAISED POSITION, IT RUNS DOWN ON ITS OWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANTA BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 1604

    Patients

    Seq Age Sex Outcome Treatment
    1