FDA Adverse Event
Malfunction
Summary report: N
4 MOTOR ADVANCE BED
MDR report key: 1945145
·
Received December 10, 2010
Report
- Report Number
- 1824206-2010-11507
- Event Type
- Malfunction
- Date Received
- December 10, 2010
- Date of Event
- November 16, 2010
- Report Date
- November 16, 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 TECHNICIAN FOUND LOOSE PINS IN THE COMMUNICATION CABLE AND THE CABLE WAS NOT CONNECTED TO THE COMPOSER INTERFACE BOARD AT THE HEAD OF THE BED. THE TECHNICIAN INSTALLED A CABLE SAVER AND CONNECTED THE CABLE TO THE COMPOSER INTERFACE BOARD TO REPAIR THE BED.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE ROOM LIGHTS CANNOT BE OPERATED FROM BED. THE PATIENT CANNOT PLACE A NURSE CALL USING THE BED CALL SWITCH. PATIENT CANNOT HEAR HUC RESPOND IN THE EXPECTED LOCATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4 MOTOR ADVANCE BED | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1155 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |