BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3 MOTOR ADVANCE BED

    MDR report key: 1940423 · Received December 9, 2010

    Report

    Report Number
    1824206-2010-11496
    Event Type
    Malfunction
    Date Received
    December 9, 2010
    Date of Event
    November 15, 2010
    Report Date
    November 15, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH FOUND THE BRAKE CASTER WORN AND WAS NOT ABLE TO ADJUST THE BRAKE FUNCTION SUFFICIENTLY. THE TECH REPLACED THE CASTER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE BRAKE CASTER WILL NOT HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3 MOTOR ADVANCE BED AC-POWERED ADJUSTABLE HOSP BED FNL HILL-ROM, INC. 1130

    Patients

    Seq Age Sex Outcome Treatment
    1