BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTRA BED

    MDR report key: 2192569 · Received June 30, 2011

    Report

    Report Number
    1824206-2011-03520
    Event Type
    Malfunction
    Date Received
    June 30, 2011
    Date of Event
    June 17, 2011
    Report Date
    June 17, 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

    THE TECHNICIAN FOUND THE CASTERS WERE WORN. HE REPLACED BOTH BRAKE CASTERS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE BRAKE IS NOT HOLDING. THE CASTER WHEELS ARE NOT LOCKING AND CONTINUE TO SWIVEL WHEN IN BRAKE.

    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