BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    4 MOTOR ADVANCE BED

    MDR report key: 2233350 · Received July 20, 2011

    Report

    Report Number
    1824206-2011-03843
    Event Type
    Malfunction
    Date Received
    July 20, 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
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT REPLACED THE COMPLETE LEFT HEAD SIDERAIL TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNTS MAINTENANCE STATED THE HEAD SECTION RISES UNINTENTIONALLY WHEN HE TURNS THE LOCKOUTS OFF AT THE FOOTBOARD. WHEN THE LEFT SIDERAIL IS UNPLUGGED THE HEAD SECTION DOESN'T RAISE UNINTENTIONALLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4 MOTOR ADVANCE BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1165

    Patients

    Seq Age Sex Outcome Treatment
    1