BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CCU BED

    MDR report key: 1961282 · Received December 20, 2010

    Report

    Report Number
    1824206-2010-11795
    Event Type
    Malfunction
    Date Received
    December 20, 2010
    Date of Event
    November 22, 2010
    Report Date
    November 22, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE WORN BRAKE/STEER AND BRAKE CASTERS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES WHEN THE BRAKES WERE ENGAGED THE CASTERS WOULD STILL SWIVEL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CCU BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 894

    Patients

    Seq Age Sex Outcome Treatment
    1