BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADVANCED BED

    MDR report key: 3883960 · Received February 14, 2014

    Report

    Report Number
    1824206-2014-00429
    Event Type
    Malfunction
    Date Received
    February 14, 2014
    Date of Event
    January 16, 2014
    Report Date
    January 16, 2014
    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 TECHNICIAN FOUND THE BRAKE CASTER WHEEL IS WORN. THE TECHNICIAN REPLACED THE BRAKE CASTER WHEEL TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

    Description of Event or Problem · 1

    THE ACCOUNT REPORTED THE BRAKE CASTER WHEEL WILL NOT HOLD. THE BED IS LOCATED IN THE BED SHOP OF THE FACILITY. THERE WAS NO PT/USER INJURY REPORTED. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    98191 ADVANCED BED AC POWERED ADJUSTABLE HOSPITALB ED FNL HILL-ROM INC. 1105

    Patients

    Seq Age Sex Outcome Treatment
    1