FDA Adverse Event
Malfunction
Summary report: N
CCU BED
MDR report key: 2033896
·
Received March 23, 2011
Report
- Report Number
- 1824206-2011-01793
- Event Type
- Malfunction
- Date Received
- March 23, 2011
- Date of Event
- March 1, 2011
- Report Date
- March 1, 2011
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THAT THE CASTERS STEMS WERE BROKEN. HE REPLACED THE FOOT CASTERS AND THE BRAKES FUNCTIONED PROPERLY.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES WHEN THE BRAKE IS ENGAGED, THE CASTERS AT THE FOOT END OF THE BED WOULD STILL SWIVEL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CCU BED | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 894 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |