BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 3180159 · Received June 4, 2013

    Report

    Report Number
    1824206-2013-02965
    Event Type
    Malfunction
    Date Received
    June 4, 2013
    Date of Event
    May 9, 2013
    Report Date
    May 9, 2013
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH FOUND THE WHEEL ON THE BRAKE CASTER IS WORN. THE TECH REPLACED THE BRAKE CASTER WHEEL TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE TECH ALLEGED THAT THE BRAKE CASTER ROLLS WHILE IN BRAKE MODE. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    247601 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1