BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANTA II

    MDR report key: 2231641 · Received August 24, 2011

    Report

    Report Number
    3006697241-2011-00087
    Event Type
    Malfunction
    Date Received
    August 24, 2011
    Date of Event
    August 1, 2011
    Report Date
    August 1, 2011
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A NEW SIDERAIL ASSEMBLY WAS SENT TO THE ACCOUNT TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNTS MAINTENANCE STATED THE RIGHT FOOT SIDERAIL JUST CAME OFF FROM THE MOUNTING BRACKET LIKE THE SCREWS WERE JUST STRIPPED. HE SAID THERE ARE NO SIGNS OF ABUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANTA II AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM DE MEXICO S DE RL DE CV 1190

    Patients

    Seq Age Sex Outcome Treatment
    1