BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM BED

    MDR report key: 287682 · Received July 26, 2000

    Report

    Report Number
    287682
    Event Type
    Malfunction
    Date Received
    July 26, 2000
    Date of Event
    July 9, 2000
    Report Date
    July 21, 2000
    Manufacturer
    MEPCO/ELECTRA CAPACITOR AS USED WITH HILL-ROM MOTOR
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MOTOR IN ELECTRIC PT BED "CAUGHT ON FIRE"; WHILE IT DOES NOT APPEAR THERE WAS AN ACTUAL FIRE, THE CAPACITOR APPEARS TO HAVE OVER-HEATED AND CAUSED ITS HOUSING TO MELT, RESULTING IN SMOKE IN THE PT'S ROOM, COMING FROM UNDER THE BED PT WAS IN. PT THOUGHT THE BED WAS ON FIRE AND WAS VERY FRIGHTENED AND ANGRY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM BED HILL-ROM BED FNL MEPCO/ELECTRA CAPACITOR AS USED WITH HILL-ROM MOTOR NI NI
    2 MEPCO/ELECTRA CAPACITOR MEPCO/ELECTRA CAPACITOR FNL MEPCO/ELECTRA CAPACITOR AS USED WITH HILL-ROM MOTOR 30121 21-25 NA
    3 MOTOR FOR ELECTRIC PATIENT BED MOTOR FOR ELECTRIC PATIENT BED FNL MEPCO/ELECTRA CAPACITOR AS USED WITH HILL-ROM MOTOR HILL-ROM MOTOR K37MC223332 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other