FDA Adverse Event
Malfunction
Summary report: N
3 MOTOR ADVANCE BED
MDR report key: 2033914
·
Received March 23, 2011
Report
- Report Number
- 1824206-2011-01800
- 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 THE CASTERS WERE WORN AND THE RUBBER TIRES WERE DRY ROTTED AND BREAKING OFF THE CASTER. THE TECHNICIAN REPLACED THE CASTERS TO REPAIR THE BED.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE BRAKE WOULD NOT ENGAGE OR HOLD.
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. | 1130 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |