FDA Adverse Event
Malfunction
Summary report: N
3 MOTOR ADVANCE BED
MDR report key: 2112455
·
Received April 28, 2011
Report
- Report Number
- 1824206-2011-02444
- Event Type
- Malfunction
- Date Received
- April 28, 2011
- Date of Event
- April 5, 2011
- Report Date
- April 5, 2011
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THE BRAKE CASTERS WERE OUT OF ADJUSTMENT AND TWO CASTERS WERE MISSING THE SAFETY BOLT. HE ADJUSTED THE BRAKE CASTERS AND REPLACED THE MISSING BOLTS TO REPAIR THE BED.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE BRAKE WILL 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. | 1110 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |