BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 1070991 · Received July 1, 2008

    Report

    Report Number
    1070991
    Event Type
    Malfunction
    Date Received
    July 1, 2008
    Date of Event
    June 9, 2008
    Report Date
    June 30, 2008
    Manufacturer
    HILL-ROM COMPANY, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US

    Narratives

    Description of Event or Problem · 1

    PATIENT BEING TRANSFERRED FROM CHAIR BACK TO BED. AS PATIENT SITS ON BED, THE RIGHT WHEEL AT FOOT OF BED LOCKING MECHANISM FAILED ALLOWING THE BED TO SLIDE 18 INCHES BACKWARDS. PATIENT SLOWLY LOWERED TO FLOOR IN A CONTROLLED MANNER BY MYSELF AND TWO PATIENT CARE TECHNICIANS. MECHANICAL LIFT OBTAINED AND PATIENT GENTLY PLACED BACK IN BED WITHOUT PROBLEM.====================== MANUFACTURER RESPONSE FOR BED, HOSPITAL, (BRAND NOT PROVIDED)======================HILL-ROM REPRESENTATIVE WAS NOTIFIED. THEY ARE SENDING A NEW BED AND TRAPEZE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * BED, HOSPITAL FNL HILL-ROM COMPANY, INC. * 603072634

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR