BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE

    MDR report key: 1964121 · Received December 21, 2010

    Report

    Report Number
    1824206-2010-11826
    Event Type
    Malfunction
    Date Received
    December 21, 2010
    Date of Event
    December 2, 2010
    Report Date
    December 2, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ACCOUNT INSTALLED A NEW LATCH BLOCK, RELEASE ARM AND SPRING TO RESOLVE THE ISSUE WITH THIS BED.

    Description of Event or Problem · 1

    ACCOUNT ALLEGED THAT THE RIGHT HAND FOOT SIDE RAIL WILL INTERMITTENTLY LATCH IN THE UP POSITION. RICH STATED THAT THERE WERE NO INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1155

    Patients

    Seq Age Sex Outcome Treatment
    1