BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 3031162 · Received March 4, 2013

    Report

    Report Number
    1824206-2013-01207
    Event Type
    Malfunction
    Date Received
    March 4, 2013
    Date of Event
    February 4, 2013
    Report Date
    February 4, 2013
    Manufacturer
    HILL-OM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN REPLACED THE LOWER BASE ASSEMBLY TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THAT THE WELD HOLDING THE BRAKE STEER CASTER BROKE CAUSING THE WHEEL TO BUCKLE IN. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    92554 ADVANCE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-OM INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1