FDA Adverse Event
Malfunction
Summary report: N
4 MOTOR ADVANCE BED
MDR report key: 2100197
·
Received May 16, 2011
Report
- Report Number
- 1824206-2011-02705
- Event Type
- Malfunction
- Date Received
- May 16, 2011
- Date of Event
- April 21, 2011
- Report Date
- April 21, 2011
- Manufacturer
- HILL-ROM INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE BIOMED COULD NOT DUPLICATE THE ALLEGED MALFUNCTION. HE IS GOING TO ISOLATE THE SIDERAILS AND TEST PORT. HIS INVESTIGATION HAS NOT BEEN COMPLETED.
Description of Event or Problem · 1
INFO RECEIVED INDICATES THE HEAD SECTION IS DRIFTING DOWN ON ITS OWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4 MOTOR ADVANCE BED | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM INC. | 1145 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |