FDA Adverse Event
Malfunction
Summary report: N
3 MOTOR ADVANCE BED
MDR report key: 1993298
·
Received January 21, 2011
Report
- Report Number
- 1824206-2011-00418
- Event Type
- Malfunction
- Date Received
- January 21, 2011
- Date of Event
- December 31, 2010
- Report Date
- December 31, 2010
- Manufacturer
- HILL-ROM INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THE BRAKE MECHANISM ASSEMBLY WAS INOPERABLE AND THE CASTERS WERE WORN. THE TECHNICIAN REPLACED THE BRAKE MECHANISM ASSEMBLY AND THE FOUR CASTERS TO REPAIR THE BED.
Description of Event or Problem · 1
INFO RECEIVED INDICATES THE TECHNICIAN FOUND THE BRAKE WILL NOT HOLD ON THE BED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 3 MOTOR ADVANCE BED | AC POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM INC. | 1100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |