BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTRA BED

    MDR report key: 1894842 · Received November 5, 2010

    Report

    Report Number
    1824206-2010-10884
    Event Type
    Malfunction
    Date Received
    November 5, 2010
    Date of Event
    October 12, 2010
    Report Date
    October 12, 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 TECH FOUND THE GROUND PIN WAS MISSING ON THE POWER CORD PLUG. THE TECH REPLACED THE PLUG TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE BED LOST GROUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTRA BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 850

    Patients

    Seq Age Sex Outcome Treatment
    1