FDA Adverse Event Malfunction Summary report: N

HILL-ROM 405 ELECTRIC BED

MDR report key: 2192011 · Received July 29, 2011

Report

Report Number
3006697241-2011-00066
Event Type
Malfunction
Date Received
July 29, 2011
Date of Event
July 1, 2011
Report Date
July 1, 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

FINDINGS: FIRST OCCURRENCE- MONITOR FIELD PERFORMANCE. THE DISTRIBUTOR STATED THEY PERFORMED SOME CHECKS WITH A DEVICE TO VERIFY THE STATIC ENERGY OF THE BED. THE RESULTS WERE NEGATIVE AND SHOWED THIS IS NOT THE REASON FOR THE SHOCKS. THEN THE POSSIBILITY OF THESE SHOCKS BEING GENERATED BY STATIC ELECTRICITY FROM THE MATTRESSES WAS THEN DISCARDED. THE INVESTIGATION HAS NOT BEEN COMPLETED.

Description of Event or Problem · 1

INFORMATION RECEIVED INDICATES USERS AT THE HOSPITAL ARE COMPLAINING ABOUT SMALL ELECTRIC SHOCKS WHEN TOUCHING THE BED, ESPECIALLY WHEN THEY TOUCH THE IV POLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HILL-ROM 405 ELECTRIC BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM DE MEXICO S DE RL DE CV 1440B

Patients

Seq Age Sex Outcome Treatment
1