BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1900884 · Received November 9, 2010

    Report

    Report Number
    1824206-2010-10940
    Event Type
    Malfunction
    Date Received
    November 9, 2010
    Date of Event
    October 14, 2010
    Report Date
    October 14, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A NEW SIDERAIL WAS SENT TO THE FACILITY TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE LOWER PIVOTS ON THE RIGHT HEAD SIDERAIL HAVE BROKEN WELDS AND THE SIDERAIL WILL NOT LATCH. A PATIENT WAS IN THE BED, BUT NOT INJURED.

    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. 1104

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK