BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM 100 LOW BED

    MDR report key: 1024224 · Received March 27, 2008

    Report

    Report Number
    1824206-2008-00074
    Event Type
    Malfunction
    Date Received
    March 27, 2008
    Date of Event
    March 17, 2008
    Report Date
    March 17, 2008
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DETERMINED TO BE CAUSED BY FAILURE OF THE HIGH/LOW DRIVE PULLEY. WERE THE CONDITION TO REOCCUR, IT COULD RESULT IN SERIOUS INJURY.

    Description of Event or Problem · 1

    A COMPANY REP WHILE DEMONSTRATING THE BED SAT ON THE FOOT SECTION WHICH PROCEEDED TO DROP TO THE LOWEST POSITION POSSIBLE. THERE WERE NO INJURIES IN THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM 100 LOW BED AC POWERED HOSPITAL BED FNL HILL-ROM RITTER 3930

    Patients

    Seq Age Sex Outcome Treatment
    1