BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 1930618 · Received December 1, 2010

    Report

    Report Number
    1824206-2010-11334
    Event Type
    Malfunction
    Date Received
    December 1, 2010
    Date of Event
    November 3, 2010
    Report Date
    November 3, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN COULD NOT DETERMINE WHY THE CABLE WAS ENTANGLED WITH THE CASTER. ALL OF THE WIRE TIES AND STRAIN RELIEFS ARE ON AND DID NOT LOOK DAMAGED OR OUT OF PLACE. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE RIGHT COILED CABLE FROM THE POWER SUPPLY TO THE LOGIC BOARD IS CUT IN TWO PLACES AND ONE OF THE WIRES IN SIDE IS EXPOSED. HE THINKS IT WAS CAUGHT BY ONE OF THE CASTERS WHEN BED WAS MOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1