BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 1951221 · Received December 13, 2010

    Report

    Report Number
    1824206-2010-11538
    Event Type
    Malfunction
    Date Received
    December 13, 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
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE POWER CORD TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE GROUND PRONG IS LOOSE ON THE POWER CORD RECEPTACLE CAUSING A LOSS OF GROUND.

    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