BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM 100 LOW BED

    MDR report key: 1920849 · Received December 6, 2010

    Report

    Report Number
    1824206-2010-11393
    Event Type
    Malfunction
    Date Received
    December 6, 2010
    Date of Event
    November 9, 2010
    Report Date
    November 9, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT INSTALLED A NEW HEAD ACTUATOR TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE HEAD MOTOR WAS NOT WORKING (HEAD OF BED WOULD NOT RISE OR LOWER). THE HEAD SECTION OF THE BED WAS STUCK IN THE RAISED POSITION.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1