BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM 100 LOW BED

    MDR report key: 2170788 · Received June 22, 2011

    Report

    Report Number
    1824206-2011-03394
    Event Type
    Malfunction
    Date Received
    June 22, 2011
    Date of Event
    June 3, 2011
    Report Date
    June 3, 2011
    Manufacturer
    HILL-ROM INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN ISOLATED THE ISSUE TO THE CONTROLLER. HE REPLACED THE CONTROLLER TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE HEAD OF THE BED IS APPROX AT 30 DEGREES AND CANNOT BE RAISED OR LOWERED.

    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 UNK