BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANTA

    MDR report key: 1964526 · Received December 22, 2010

    Report

    Report Number
    1824206-2010-11896
    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
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN REPLACED THE POWER SUPPLY BOARD AND THE BED FUNCTIONED PROPERLY.

    Description of Event or Problem · 1

    TECHNICIAN ALLEGED THAT THIS BED HAD NO BED FUNCTIONS. TECHNICIAN DISCOVERED THAT THE POWER SUPPLY BOARD HAD FLUID INGRESS. NO ALLEGED INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANTA A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1604

    Patients

    Seq Age Sex Outcome Treatment
    1