BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE-

    MDR report key: 2170798 · Received June 22, 2011

    Report

    Report Number
    1824206-2011-03379
    Event Type
    Malfunction
    Date Received
    June 22, 2011
    Date of Event
    June 8, 2011
    Report Date
    June 8, 2011
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND BED IN ICU STORAGE AREA. THE LEFT SIDERAIL CONTROLS ARE NOT WORKING. THE SERVICE REQUIRED LED IS FLASHING. FOUND: FLUID LEAKED ON THE LEFT CAREGIVER PC BOARD. REPLACED THE LEFT CAREGIVER PC BOARD TO RESOLVE ISSUE.

    Description of Event or Problem · 1

    FACILITY ALLEGED THAT THE LEFT SIDERAIL CONTROLS WERE NOT WORKING. NO ALLEGED INJURIES REPORTED BY THE ACCOUNT.

    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