BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 2142581 · Received June 21, 2011

    Report

    Report Number
    1824206-2011-03349
    Event Type
    Malfunction
    Date Received
    June 21, 2011
    Date of Event
    June 1, 2011
    Report Date
    June 1, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED THE INTELLIDRIVE WILL RUN BACKWARDS AS SOON AS THE ENABLE BUTTON IS PRESSED. THE ACCOUNT HAS ISOLATED THE HANDLES AND REPLACED THE JUNCTION PC BOARD BUT THE ISSUE REMAINS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK