BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE 2000

    MDR report key: 2253805 · Received August 10, 2011

    Report

    Report Number
    1824206-2011-04229
    Event Type
    Malfunction
    Date Received
    August 10, 2011
    Date of Event
    July 28, 2011
    Report Date
    July 29, 2011
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND THE BRAKES WOULD NOT ADJUST OR HOLD CORRECTLY. REPLACED DAMAGED PLATE AND BEARINGS TO RESOLVE THIS ISSUE. BED LOCATE IN BED SHOP.

    Description of Event or Problem · 1

    BRAKE MECHANISM ASSEMBLY NOT WORKING CORRECTLY. NO ALLEGED INJURIES BY ACCOUNT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADVANCE 2000 AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. P1105

    Patients

    Seq Age Sex Outcome Treatment
    1