BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE

    MDR report key: 1954099 · Received December 16, 2010

    Report

    Report Number
    1824206-2010-11674
    Event Type
    Malfunction
    Date Received
    December 16, 2010
    Date of Event
    November 29, 2010
    Report Date
    November 29, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN REPLACED ALL BRAKE CASTERS TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    TECHNICIAN ALLEGED THAT THE BRAKE WOULD SET BUT THE BRAKE CASTER WOULD NOT HOLD. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1100

    Patients

    Seq Age Sex Outcome Treatment
    1