BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RESIDENT BED

    MDR report key: 2861225 · Received November 2, 2012

    Report

    Report Number
    1824206-2012-07079
    Event Type
    Malfunction
    Date Received
    November 2, 2012
    Date of Event
    October 8, 2012
    Report Date
    October 8, 2012
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT REPLACED THE LOWER PIVOT ARM TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE WELD BROKE ON THE LOWER PIVOT ARM. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RESIDENT BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 870

    Patients

    Seq Age Sex Outcome Treatment
    1