BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANTA II

    MDR report key: 2243455 · Received August 29, 2011

    Report

    Report Number
    3006697241-2011-00095
    Event Type
    Malfunction
    Date Received
    August 29, 2011
    Date of Event
    August 17, 2011
    Report Date
    August 17, 2011
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH FOUND THE SCREWS WERE STRIPPED OUT OF PLASTIC MOLDED SIDERAIL PANEL. HE REPLACED THE RIGHT FOOT SIDERAIL ASSEMBLY TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED WHEN THE PT'S FOOT PUSHED THE FOOT SIDERAIL; THE PLASTIC PANEL FELL OFF THE BED.

    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 UNK