BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM 1000 BED

    MDR report key: 2113322 · Received May 25, 2011

    Report

    Report Number
    3006697241-2011-00043
    Event Type
    Malfunction
    Date Received
    May 25, 2011
    Date of Event
    May 4, 2011
    Report Date
    May 4, 2011
    Manufacturer
    HILL-ROM DE MEXICO S DE RL DE CV
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    INFO REC'D INDICATES THE HI/LOW COLUMN CAME OUT OF ITS SUPPORT WHICH CAUSED THE HI/LOW COLUMN TO COME IN CONTACT WITH THE HEAD SECTION FRAME WHICH BENT THE HEAD SECTION FRAME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM 1000 BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM DE MEXICO S DE RL DE CV 1160

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK