BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CCU BED

    MDR report key: 2072892 · Received March 31, 2011

    Report

    Report Number
    1824206-2011-01966
    Event Type
    Malfunction
    Date Received
    March 31, 2011
    Date of Event
    March 9, 2011
    Report Date
    March 9, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE LOCKOUT BOARD TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE BED FUNCTIONS ARE NOT WORKING FROM THE SIDERAILS DUE TO FLUID INGRESS ONTO THE LOCKOUT BOARD.

    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