BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CCU

    MDR report key: 2233284 · Received July 22, 2011

    Report

    Report Number
    1824206-2011-03891
    Event Type
    Malfunction
    Date Received
    July 22, 2011
    Date of Event
    July 6, 2011
    Report Date
    July 6, 2011
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACE THE CASTERS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO REC'D INDICATES THE BRAKE CASTER AT THE FOOT END OF THE BED WILL LOCK IN PLACE AND NOT ROLL BUT WOULD CONTINUE TO SWIVEL. THE CASTER COULD NOT BE ADJUSTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CCU AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 894

    Patients

    Seq Age Sex Outcome Treatment
    1