FDA Adverse Event
Malfunction
Summary report: N
ADVANCE BED
MDR report key: 3222015
·
Received July 5, 2013
Report
- Report Number
- 1824206-2013-03364
- Event Type
- Malfunction
- Date Received
- July 5, 2013
- Date of Event
- June 10, 2013
- Report Date
- June 10, 2013
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THE BRAKE CASTER RUBBER IS WORN IN THE MIDDLE AND THE BRAKE PAD IS NOT MAKING FIRM CONTACT WITH THE WHEEL. THE TECHNICIAN REPLACED THE BRAKE CASTER TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
THE TECHNICIAN ALLEGED THE BRAKE CASTER IS NOT HOLDING. NO PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 307121 | ADVANCE BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1165 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |