BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 2080209 · Received April 6, 2011

    Report

    Report Number
    1824206-2011-02042
    Event Type
    Malfunction
    Date Received
    April 6, 2011
    Date of Event
    March 15, 2011
    Report Date
    March 15, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT VERIFIED THAT THE BED WAS NOT PLUGGED INTO AN ISOLATED POWER OUTLET. TECH ASKED THE ACCOUNT TO CHECK THE AC VOLTAGE AT P1 ON THE HIGH VOLTAGE BOARD ACROSS THE WHITE AND GREEN WIRES AND THE GREEN AND BLACK WIRES. NO FURTHER INFO IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THAT THE GROUND LOSS LED IS FLASHING. THE ACCOUNT STATED THAT THERE WERE NO INJURIES AND A PT WAS NOT IN THE BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1155

    Patients

    Seq Age Sex Outcome Treatment
    1