BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 2191444 · Received July 28, 2011

    Report

    Report Number
    1824206-2011-04013
    Event Type
    Malfunction
    Date Received
    July 28, 2011
    Date of Event
    July 15, 2011
    Report Date
    July 15, 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 TECH FOUND THE BRAKE CASTERS WERE WORN. HE REPLACED BOTH BRAKE CASTERS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE BRAKE WILL SET BUT DOES NOT HOLD.

    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