BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1920929 · Received December 6, 2010

    Report

    Report Number
    1824206-2010-11404
    Event Type
    Malfunction
    Date Received
    December 6, 2010
    Date of Event
    November 10, 2010
    Report Date
    November 10, 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

    THE ACCOUNT MANUALLY CRANKED DOWN THE HEAD SECTION AND ISOLATED THE SIDERAILS. THE ACCOUNT FOUND WITH THE LEFT SIDERAIL UNPLUGGED THE HEAD SECTION DOES NOT RISE. THE ACCOUNT REPLACED THE LEFT SIDERAIL SWITCH PACKAGE TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE HEAD SECTION ROSE ON ITS OWN WHEN THE BED WAS PLUGGED IN.

    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. 1115

    Patients

    Seq Age Sex Outcome Treatment
    1