BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE-

    MDR report key: 2170813 · Received June 22, 2011

    Report

    Report Number
    1824206-2011-03375
    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
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND BED IN "DOWN" STORAGE. HEAD UP FUNCTION NOT WORKING MANUALLY OR UNDER POWER. BATTERY LED IS ON. DETERMINED PROBLEM TO BE FAULTY VALVE GUIDE TUBE. REPLACED HEAD UP VALVE GUIDE TUBE TO RESOLVE THIS ISSUE.

    Description of Event or Problem · 1

    CAUSE OF PROBLEM UNKNOWN. BED FOUND IN "DOWN" STORAGE AREA. NO PT IMPACT REPORTED.

    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