BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 1970431 · Received January 18, 2011

    Report

    Report Number
    1824206-2011-00276
    Event Type
    Malfunction
    Date Received
    January 18, 2011
    Date of Event
    December 27, 2010
    Report Date
    December 27, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE SIDERAIL CENTER ARM WAS BROKEN AT LATCH AREA AND TOP RAIL WAS BENT IN THE CENTER AREA. THE TECHNICIAN INDICATED THE DAMAGE WAS MOST LIKELY FROM ABUSE. HE REPLACED THE SIDERAIL TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED THE LEFT FOOT SIDERAIL WILL NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1