BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1890750 · Received November 1, 2010

    Report

    Report Number
    1824206-2010-10770
    Event Type
    Malfunction
    Date Received
    November 1, 2010
    Date of Event
    October 6, 2010
    Report Date
    October 6, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE SIDERAIL TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO REC'D INDICATES THE UPPER PIVOT POINT OF THE RIGHT HEAD SIDERAIL WAS BROKEN, CAUSING THE SIDERAIL TO PIVOT PERPENDICULAR TO THE SLEEP SURFACE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1