BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESIDENT BED

    MDR report key: 2161066 · Received July 5, 2011

    Report

    Report Number
    1824206-2011-03555
    Event Type
    Malfunction
    Date Received
    July 5, 2011
    Date of Event
    June 17, 2011
    Report Date
    June 17, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNTS ISOLATED THE ISSUE TO THE LOCKOUT BOX. HE REPLACED THE LOCKOUT TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNTS MAINTENANCE STATED THE HEAD AND KNEE FUNCTIONS DO NOT WORK AND THE HEAD SECTION WAS IN THE RAISED POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RESIDENT BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 870

    Patients

    Seq Age Sex Outcome Treatment
    1