BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANTA BED

    MDR report key: 2072080 · Received April 21, 2011

    Report

    Report Number
    1824206-2011-02327
    Event Type
    Malfunction
    Date Received
    April 21, 2011
    Date of Event
    March 23, 2011
    Report Date
    March 23, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A NEW SIDERAIL WAS SENT TO THE ACCOUNT TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT'S MAINTENANCE ALLEGED THE LEFT HEAD RAIL WAS TORN OFF OF THE BED. UNK CAUSE. THE ACCOUNT'S MAINTENANCE STATED HE FOUND THE BED THIS WAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANTA BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1600

    Patients

    Seq Age Sex Outcome Treatment
    1