BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 2945982 · Received January 7, 2013

    Report

    Report Number
    1824206-2013-00164
    Event Type
    Malfunction
    Date Received
    January 7, 2013
    Date of Event
    January 4, 2013
    Report Date
    January 4, 2013
    Manufacturer
    HILL-ROM INC
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    NO FURTHER INFORMATIN IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED A WIRE ON THE MOTOR CONTROL BOARD BECAME DISCONNECTED AND SPARKED. NO PATIENT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8667 VERSACARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC 3200

    Patients

    Seq Age Sex Outcome Treatment
    1