Brand Name | TOTALCARE |
Type of Device | BED, AC-POWERED ADJUSTABLE HOSPITAL |
Manufacturer (Section D) |
HILL-ROM, INC. |
1069 state route 46 east |
batesville IN 47006 |
|
MDR Report Key | 12106683 |
MDR Text Key | 259638400 |
Report Number | 12106683 |
Device Sequence Number | 1 |
Product Code |
FNL
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
06/10/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/02/2021 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
No
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 06/10/2021 |
Event Location |
Hospital
|
Date Report to Manufacturer | 07/02/2021 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Age | 26645 DA |
Patient Weight | 48 |
|
|