BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 2220098 · Received August 15, 2011

    Report

    Report Number
    1824206-2011-04301
    Event Type
    Malfunction
    Date Received
    August 15, 2011
    Date of Event
    August 4, 2011
    Report Date
    August 4, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECH FOUND THAT SEVERAL PINS ON BOARD WERE BROKEN OFF REPLACED BOARD TO RESOLVE THIS ISSUE. BED LOCATED ON (B)(6).

    Description of Event or Problem · 1

    COMPLAINT INDICATED THAT THE NURSE CALL WAS NOT WORKING. NO CALLS WERE SENT FROM BED. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. P3200

    Patients

    Seq Age Sex Outcome Treatment
    1