FDA Adverse Event
Malfunction
Summary report: N
4 MOTOR ADVANCED BED
MDR report key: 1061772
·
Received June 13, 2008
Report
- Report Number
- 1824206-2008-02663
- Event Type
- Malfunction
- Date Received
- June 13, 2008
- Date of Event
- May 28, 2008
- Report Date
- May 30, 2008
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE HILL-ROM TECHNICIAN FOUND THAT THE BED FUNCTIONED PROPERLY, AND HE COULD NOT DUPLICATE THE MALFUNCTION. HE EXAMINED THE CPR HARDWARE AS WELL AS THE BED FUNCTIONS, AND EVERYTHING WAS OPERATING AS DESIGNED.
Description of Event or Problem · 1
HOSPITAL BIOMED REPORTED THAT A PATIENT ALLEGED THAT THE HEAD SECTION OF THE BED MOVED DOWNWARD UNINTENTIONALLY TO THE LOWEST POSITION WHILE HE WAS IN THE BED. HE REPORTED THAT THE PATIENT AND HIS WIFE WERE THE ONLY ONES IN THE ROOM WHEN THIS OCCURRED, HOWEVER, THE PATIENT'S WIFE WAS ASLEEP AT THE TIME. THE PATIENT ALLEGED THAT THIS UNINTENTIONAL MOVEMENT HURT HIS BACK. NURSE MANAGER STATED THAT THE PATIENT RECEIVED AN X-RAY, AND THERE WERE NO INJURIES INDICATED, AND THE PATIENT WAS DISCHARGED TWO DAYS LATER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4 MOTOR ADVANCED BED | AC POWERED HOSPITAL BED | FNL | HILL-ROM RITTER | 1155 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 YR | Other |