BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTRA BED

    MDR report key: 1964517 · Received December 22, 2010

    Report

    Report Number
    1824206-2010-11891
    Event Type
    Malfunction
    Date Received
    December 22, 2010
    Date of Event
    December 5, 2010
    Report Date
    December 5, 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

    TECHNICIAN REPLACED THE BRAKE CASTERS TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    TECHNICIAN ALLEGED THAT THE BRAKES ON THE BED WOULD NOT HOLD. THE BED MOVED, ROLLED WHEN IN BRAKE MODE. NO IMPACT TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTRA BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 850

    Patients

    Seq Age Sex Outcome Treatment
    1