BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 1964522 · Received December 22, 2010

    Report

    Report Number
    1824206-2010-11902
    Event Type
    Malfunction
    Date Received
    December 22, 2010
    Date of Event
    December 6, 2010
    Report Date
    December 6, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT REPLACED THE SIDERAIL TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THAT THE LOWER PIVOT WELD IS BROKEN AND THE SIDERAIL ONLY LATCHES INTERMITTENTLY AND ROTATES ALL OVER THE PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4 MOTOR ADVANCE BED AC POWERED HOSPITAL BED FNL HILL-ROM, INC. 1155

    Patients

    Seq Age Sex Outcome Treatment
    1