BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HILL-ROM FLEXICAIR ECLIPSE BED - LOW AIR LOSS THERAPY

    MDR report key: 1595182 · Received February 1, 2010

    Report

    Report Number
    MW5014619
    Event Type
    Injury
    Date Received
    February 1, 2010
    Date of Event
    January 23, 2010
    Report Date
    February 1, 2010
    Manufacturer
    HILL-ROM COMPANY, INC.
    Product Code
    IOQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BLACK SMOKE WAS COMING FROM THE PATIENT'S HILL-ROM BED FLEXICAIR ECLIPSE - IF 100870, WHICH INVOLVED THE MOTOR BOX THAT INFLATES THE MATTRESS. A CODE RED WAS CALLED. APPROPRIATE RESOURCES RESPONDED TO INCLUDE THE CITY FIRE DEPARTMENT. THE BED WAS IMMEDIATELY UNPLUGGED AND THE PATIENT WAS IMMEDIATELY TRANSFERRED TO ANOTHER BED. THE HILL-ROM REPRESENTATIVE AT THE (B) (4) SERVICE CENTER WAS NOTIFIED AT APPROXIMATELY 2120 REGARDING THE INCIDENT WITH THE BED/TIME COINCIDES WITH INITIAL NOTIFICATION THAT BED WAS MALFUNCTIONING. THE UNIT WAS PICKED UP BY THE SERVICE REPRESENTATIVE, APPROXIMATELY 02:30AM PER STAFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM FLEXICAIR ECLIPSE BED - LOW AIR LOSS THERAPY ECLIPSE BED IOQ HILL-ROM COMPANY, INC. IF 100870 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Disability