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