BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 2972026 · Received January 22, 2013

    Report

    Report Number
    1824206-2013-00568
    Event Type
    Malfunction
    Date Received
    January 22, 2013
    Date of Event
    January 10, 2013
    Report Date
    January 10, 2013
    Manufacturer
    HILL-ROM INC
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED SELF RUN OF THE KNEE DRIVE OF THE BED. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    31735 ADVANCE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC 1155

    Patients

    Seq Age Sex Outcome Treatment
    1