BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL ROM CENTRA 852 SERIES HOSPITAL BED

    MDR report key: 2223075 · Received August 19, 2011

    Report

    Report Number
    MW5021848
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    August 15, 2011
    Report Date
    August 19, 2011
    Manufacturer
    HILL ROM
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PT WAS IN A HILL-ROM CENTRA 852 BED IN A SKILLED NURSING FACILITY. THE BED MALFUNCTIONED AND SMOKE CAME FROM THE BOTTOM OF THE BED. THE RESIDENT'S ROOMMATE HEARD A SNAP NOISE AND THEN SAW SMOKE. NO INJURIES NOTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL ROM CENTRA 852 SERIES HOSPITAL BED HILL ROM CENTRA 852 SERIES HOSPITAL BED FNL HILL ROM 852 HILL ROM CENTRA 852

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR