BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE BED

    MDR report key: 3223885 · Received July 2, 2013

    Report

    Report Number
    1824206-2013-03299
    Event Type
    Malfunction
    Date Received
    July 2, 2013
    Date of Event
    June 5, 2013
    Report Date
    June 5, 2013
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE SIDE RAIL CENTER ARM WAS BROKEN RIGHT OFF OF THE BED FRAME AND HANGING FROM THE SIDE RAIL FRAME. MAJOR IMPACT TO BREAK THE PLASTIC HOUSING IS EVIDENT. THE TECHNICIAN REPLACED THE SIDE RAIL CENTER ARM ASSEMBLY TO RESOLVE ISSUE WITH BED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE SIDE RAIL IS NOT LATCHING. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    301513 VERSACARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

    Patients

    Seq Age Sex Outcome Treatment
    1