HILL-ROM 405 ELECTRIC BED

Report

• Report Number: 3006697241-2011-00089
• Event Type: Malfunction
• Date Received: August 26, 2011
• Date of Event: July 27, 2011
• Report Date: July 27, 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

REPAIRS HAVE NOT BEEN COMPLETED.

Description of Event or Problem · 1

INFO RECEIVED INDICATES THE WELD IS BROKEN ON ONE OF THE SIDERAIL ARMS WHERE IT ATTACHES TO THE SIDERAIL FRAME. BECAUSE OF THIS, ONE END OF THE SIDERAIL DROPS DOWN.

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	1440

Patients

Seq	Age	Sex	Outcome	Treatment
1

Terms

Patient problem · 1

• No Information

Product problems · 1

• Mechanical Problem

Source type · 1

• Other

Type of report · 1

• Initial submission