FDA Adverse Event
Malfunction
Summary report: N
CENTURY
MDR report key: 2151436
·
Received June 8, 2011
Report
- Report Number
- 1824206-2011-03167
- Event Type
- Malfunction
- Date Received
- June 8, 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
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN ADJUSTED THE CASTERS TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THAT WHEN THE BRAKES WERE ENGAGED, THE CASTERS WOULD STILL SWIVEL BUT THE CASTER WHEELS DID NOT ROLL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CENTURY | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |