BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 3003626 · Received February 11, 2013

    Report

    Report Number
    1824206-2013-00962
    Event Type
    Malfunction
    Date Received
    February 11, 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
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN STATED THAT THE BRAKE CASTER CAME OFF DURING TRANSPORT BY THE HOSPITAL PERSONNEL. THE TECHNICIAN PUT THE BRAKE CASTER BACK ON THE BED AND REPLACED THE MISSING BRAKE CASTER BOLT TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE TECHNICIAN ALLEGED THAT THE BRAKE CASTER WILL SWIVEL WHILE IN BRAKE MODE. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    60169 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1145

    Patients

    Seq Age Sex Outcome Treatment
    1