BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CCU BED

    MDR report key: 2110118 · Received May 19, 2011

    Report

    Report Number
    1824206-2011-02790
    Event Type
    Malfunction
    Date Received
    May 19, 2011
    Date of Event
    April 27, 2011
    Report Date
    April 27, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH REPLACED THE BRAKE CASTER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES, THE BRAKE CASTER WILL LOCK BUT CONTINUES TO ROTATE IF PUSHED ON THE SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CCU BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 894

    Patients

    Seq Age Sex Outcome Treatment
    1