BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 2080211 · Received April 6, 2011

    Report

    Report Number
    1824206-2011-02043
    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

    ACCOUNT FOUND A DEFECTIVE WELD ON THE BRAKE CASTER STEM. WELD BROKE ON THE BASE FRAME. THE ACCOUNT REPLACED THE BASE FRAME TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    ACCOUNT ALLEGED THE LEFT FRONT BRAKE CASTER STEM WELD WAS BROKE ON THE BASE FRAME. NO INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1165

    Patients

    Seq Age Sex Outcome Treatment
    1