BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE

    MDR report key: 2151290 · Received June 7, 2011

    Report

    Report Number
    1824206-2011-03057
    Event Type
    Malfunction
    Date Received
    June 7, 2011
    Date of Event
    June 3, 2011
    Report Date
    June 3, 2011
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DC, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE COMPLETE SIDE RAIL TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE RIGHT SIDE RAIL WAS NOT LATCHING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1