FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 3002644 · Received February 14, 2013

Report

Report Number
1824206-2013-00990
Event Type
Malfunction
Date Received
February 14, 2013
Date of Event
January 29, 2013
Report Date
January 29, 2013
Manufacturer
HILL-ROM, INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH FOUND THAT THE CENTER ARM ASSEMBLY WAS BROKEN. IT APPEARED THAT THE SIDERAIL HAD BEEN HIT WITH SOMETHING CAUSING THE CENTER ARM ASSEMBLY TO BREAK. PARTS HAVE BEEN ORDERED AND WILL BE REPLACED.

Description of Event or Problem · 1

INFO RECEIVED INDICATED THE RIGHT SIDERAIL WOULD NOT LATCH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
65289 VERSACARE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

Patients

Seq Age Sex Outcome Treatment
1