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 |