FDA Adverse Event
Malfunction
Summary report: N
1840
MDR report key: 3003445
·
Received February 8, 2013
Report
- Report Number
- 1824206-2013-00944
- Event Type
- Malfunction
- Date Received
- February 8, 2013
- Date of Event
- January 19, 2013
- Report Date
- January 19, 2013
- Manufacturer
- HILL-ROM INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
HE HILL-ROM TECHNICIAN FOUND THE CENTER ARM WAS BROKEN. HE REPLACED THE CENTER ARM TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATED THE RIGHT INTERMEDIATE SIDERAIL WOULD NOT LATCH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 54019 | 1840 | AC POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM INC. | 1840 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |