BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE

    MDR report key: 2151396 · Received June 8, 2011

    Report

    Report Number
    1824206-2011-03150
    Event Type
    Malfunction
    Date Received
    June 8, 2011
    Date of Event
    May 19, 2011
    Report Date
    May 19, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECH FOUND THAT THE CASTERS ARE WORN OUT AND BENT. BED IN MAINTENANCE DEPT. REPAIR NOT YET COMPLETE.

    Description of Event or Problem · 1

    FACILITY REPORTS THAT WHEN THE BRAKE PEDAL IS SET INTO BRAKE POSITION, THE BRAKES FAIL TO HOLD. NO INJURIES ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TOTALCARE AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. P1900

    Patients

    Seq Age Sex Outcome Treatment
    1