FDA Adverse Event Malfunction Summary report: N

ADVANTA II

MDR report key: 2243460 · Received August 12, 2011

Report

Report Number
3006697241-2011-00080
Event Type
Malfunction
Date Received
August 12, 2011
Date of Event
July 28, 2011
Report Date
July 28, 2011
Manufacturer
HILL-ROM DE MEXICO S DE RL DE CV
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACCOUNT REPLACED THE SIDERAIL TO REPAIR THE BED.

Description of Event or Problem · 1

THE ACCOUNT'S BIOMED STATED, THE LEFT FOOT RAIL HAS PULLED OFF OF 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