BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 2823552 · Received October 8, 2012

    Report

    Report Number
    1824206-2012-06226
    Event Type
    Malfunction
    Date Received
    October 8, 2012
    Date of Event
    September 18, 2012
    Report Date
    September 18, 2012
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH REPLACED THE BRAKE CASTER TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE TECH ALLEGED THAT THE BRAKE CASTER IS NOT HOLDING AND IS RATCHETING WHILE IN BRAKE MODE. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1