FDA Adverse Event Malfunction Summary report: N

ADVANTA 2

MDR report key: 1912704 · Received November 24, 2010

Report

Report Number
3006697241-2010-00049
Event Type
Malfunction
Date Received
November 24, 2010
Date of Event
November 1, 2010
Report Date
November 1, 2010
Manufacturer
HILL-ROM DE MEXICO S DE RL DE CV
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACCOUNT HAS ISOLATED THE PENDANT AND THE ISSUE REMAINS. THE TECHNICIAN FOUND THE MOTOR CONTROL BOARD WAS NOT FUNCTIONING. REPAIRS HAVE NOT BEEN COMPLETED.

Description of Event or Problem · 1

THE ACCOUNT ALLEGED THAT THE TRENDELENBURG FUNCTION IS NOT WORKING ON THIS BED AND WHEN HE ATTEMPTS TO RAISE THE HI/LOW, THE HEAD END OF THE BED RISES BRIEFLY AND THE FOOT NEVER MOVES. NO INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ADVANTA 2 AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM DE MEXICO S DE RL DE CV 1190

Patients

Seq Age Sex Outcome Treatment
1 UNK