BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM 100 LOW BED

    MDR report key: 2033064 · Received February 28, 2011

    Report

    Report Number
    1824206-2011-01143
    Event Type
    Malfunction
    Date Received
    February 28, 2011
    Date of Event
    February 2, 2011
    Report Date
    February 2, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A NEW SIDERAIL WAS SENT TO THE ACCOUNT TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES A WELD ON THE RIGHT SIDERAIL IS CRACKED.

    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