BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3 MOTOR ADVANCE BED

    MDR report key: 2091068 · Received May 12, 2011

    Report

    Report Number
    1824206-2011-02652
    Event Type
    Malfunction
    Date Received
    May 12, 2011
    Date of Event
    April 19, 2011
    Report Date
    April 19, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE ACCOUNTS MAINTENANCE ALLEGED THE BASE FRAME HAS A BROKEN WELD WHERE THE CASTER SUPPORT TUBE ON THE LEFT FOOT CORNER CONNECTS TO THE FRAME. THE BRAKE WOULD NOT HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3 MOTOR ADVANCE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1100

    Patients

    Seq Age Sex Outcome Treatment
    1