BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE

    MDR report key: 2043398 · Received March 15, 2011

    Report

    Report Number
    1824206-2011-01563
    Event Type
    Malfunction
    Date Received
    March 15, 2011
    Date of Event
    February 23, 2011
    Report Date
    February 23, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND BRAKE BLOCK ASSEMBLY WAS MISSING BOLTS AND WORN. REPLACED BRAKE BLOCK ASSEMBLY TO RESOLVE THIS ISSUE.

    Description of Event or Problem · 1

    COMPLAINT ALLEGED THAT THE BRAKES WOULD NOT LOCK AND HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. P1145

    Patients

    Seq Age Sex Outcome Treatment
    1