BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CENTURY P1400-110

    MDR report key: 5197013 · Received November 3, 2015

    Report

    Report Number
    5197013
    Event Type
    Malfunction
    Date Received
    November 3, 2015
    Date of Event
    September 3, 2015
    Report Date
    October 9, 2015
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BED WITH LOCKED BRAKES SLID OUT FROM UNDER A PATIENT WHILE HE WAS ATTEMPTING TO GET INTO IT FROM A STANDING POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    728780 CENTURY P1400-110 BED, AC-POWERED ADJUSTABLE HOSPITAL FNL HILL-ROM, INC. 1400C003678

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR