BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE BARIATRIC

    MDR report key: 1954537 · Received December 15, 2010

    Report

    Report Number
    1824206-2010-11633
    Event Type
    Malfunction
    Date Received
    December 15, 2010
    Date of Event
    November 20, 2010
    Report Date
    November 20, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN COULD NOT DETERMINE THE CAUSE OF THE SIDERAIL DAMAGE. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE RIGHT SIDERAIL IS BENT AND DAMAGED AND THE SIDERAIL WILL NOT STAY UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOTALCARE BARIATRIC AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1840

    Patients

    Seq Age Sex Outcome Treatment
    1