BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HILL-ROM CO INC.

    MDR report key: 2177004 · Received August 7, 2007

    Report

    Report Number
    2177004
    Event Type
    Injury
    Date Received
    August 7, 2007
    Date of Event
    July 26, 2007
    Report Date
    August 6, 2007
    Manufacturer
    HILL-ROM
    Product Code
    ILQ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AT APPROXIMATELY 6:19 PM, A FIRE ALARM WAS ACTIVATED ON (B)(6) WHICH HOUSED 21 PATIENTS. THE PATIENT IN (B)(6) WAS SAFELY EVACUATED AND ALL OTHER PATIENTS WERE EVACUATED. FIRE APPEARED ELECTRICAL IN ORIGIN RELATED TO SOMETHING AT HEAD OF BED. HILL-ROM BED, LIGHT, AND CALL BELL SYSTEM WILL BE EVALUATED. HILL-ROM HORIZON SYSTEM 1000 CHASE INSTALLED IN 1994.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM CO INC. BED LIGHT AND CALL BELL ILQ HILL-ROM

    Patients

    Seq Age Sex Outcome Treatment
    1 Other