FDA Adverse Event
Malfunction
Summary report: N
HILL-ROM 100 LOW BED
MDR report key: 2170789
·
Received June 22, 2011
Report
- Report Number
- 1824206-2011-03395
- Event Type
- Malfunction
- Date Received
- June 22, 2011
- Date of Event
- June 6, 2011
- Report Date
- June 6, 2011
- Manufacturer
- HILL-ROM INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ACCOUNTS DIRECTOR ISOLATED THE ISSUE TO THE CONTROL BOX AND HAS DECLINED TO REPAIR THE BED AT THIS TIME.
Description of Event or Problem · 1
THE ACCOUNT STATED THE BED HAS NO FUNCTIONS AND THE LIGHT ON THE CONTROL BOX IS NOT LIT. THE HEAD SECTION IS RAISED ALL THE WAY UP.
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 |