BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOTALCARE

    MDR report key: 2191754 · Received July 28, 2011

    Report

    Report Number
    1824206-2011-04004
    Event Type
    Malfunction
    Date Received
    July 28, 2011
    Date of Event
    July 14, 2011
    Report Date
    July 14, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND THAT THE POWER CORD HAD NO GROUND. REPLACED THE POWER CORD TO RESOLVE THIS ISSUE. BED LOCATED IN BED SHOP.

    Description of Event or Problem · 1

    INFORMATION REPORTED THAT THE POWER CORD ELECTRICAL SAFETY READING FAILED. NO INJURY ALLEGED.

    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