BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 2080219 · Received April 6, 2011

    Report

    Report Number
    1824206-2011-02026
    Event Type
    Malfunction
    Date Received
    April 6, 2011
    Date of Event
    March 12, 2011
    Report Date
    March 12, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH FOUND THE RIGHT HEAD BRAKE CASTER HAD BEEN OVER ADJUSTING, DAMAGING THE BRAKE CASTER STEM. THE TECH REPLACED THE RIGHT HEAD BRAKE CASTER TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    TECH FOUND THAT THE RIGHT HEAD BRAKE CASTER IS NOT HOLDING. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1