BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE

    MDR report key: 2112459 · Received April 28, 2011

    Report

    Report Number
    1824206-2011-02448
    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
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE LEFT SIDERAIL UCM BOARD AND CAREGIVER LABEL TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED THE SERVICE REQUIRED LIGHT WAS FLASHING SERVICE CODE 30-65 AND THE LEFT SIDERAIL UCM BOARD WAS NOT WORKING CORRECTLY DUE TO A TORN CAREGIVER LABEL AND FLUID INGRESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOTALCARE AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1900

    Patients

    Seq Age Sex Outcome Treatment
    1