BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTRA BED

    MDR report key: 2192539 · Received June 30, 2011

    Report

    Report Number
    1824206-2011-03537
    Event Type
    Malfunction
    Date Received
    June 30, 2011
    Date of Event
    June 20, 2011
    Report Date
    June 20, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE CASTER WAS WORN. HE REPLACED THE LEFT FOOT CASTER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES WHEN THE BRAKES WERE ACTIVATED THE LEFT FOOT CASTER WOULD NOT HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTRA BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 850

    Patients

    Seq Age Sex Outcome Treatment
    1