BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 3063756 · Received March 28, 2013

    Report

    Report Number
    1824206-2013-01774
    Event Type
    Malfunction
    Date Received
    March 28, 2013
    Date of Event
    February 28, 2013
    Report Date
    February 28, 2013
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE BRAKE CASTER AND THE BRAKE MECHANISM ASSEMBLY WERE REPLACED TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATED THE BRAKES WERE NOT HOLDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    127416 ADVANCE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1130

    Patients

    Seq Age Sex Outcome Treatment
    1