BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCE BED

    MDR report key: 3823222 · Received February 27, 2014

    Report

    Report Number
    1824206-2014-00629
    Event Type
    Malfunction
    Date Received
    February 27, 2014
    Date of Event
    January 29, 2014
    Report Date
    January 29, 2014
    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 TECH FOUND BRAKE AND BRAKE STEER CASTERS ARE WORN. THE TECH REPLACED THE BRAKE STEER CASTERS AND BRAKE CASTERS TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

    Description of Event or Problem · 1

    THE ACCOUNT REPORTED THE BRAKES ARE NOT HOLDING, THE BED STILL ROLLS WHEN THE BRAKE IS SET. THE BED IS LOCATED IN THE STORAGE AREA AT THE FACILITY. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    122631 ADVANCE BED A/C POWERED ADJUSTABLE HOSP BED FNL HILL-ROM, INC. 1165

    Patients

    Seq Age Sex Outcome Treatment
    1