FDA Adverse Event
Malfunction
Summary report: N
4 MOTOR ADVANCE BED
MDR report key: 2172441
·
Received June 17, 2011
Report
- Report Number
- 1824206-2011-03308
- Event Type
- Malfunction
- Date Received
- June 17, 2011
- Date of Event
- May 31, 2011
- Report Date
- May 31, 2011
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN REPLACED THE BRAKE AND BRAKE/STEER CASTERS TO REPAIR THE BED.
Description of Event or Problem · 1
INFO RECEIVED INDICATES THE CASTER CONTINUES TO SWIVEL WHEN IN BRAKE. THE BED WOULD MOVE SIDE TO SIDE WHEN THE BRAKE WAS ENGAGED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4 MOTOR ADVANCE BED | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1165 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |