BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HILL-ROM

    MDR report key: 3161607 · Received June 5, 2013

    Report

    Report Number
    MW5030467
    Event Type
    Malfunction
    Date Received
    June 5, 2013
    Date of Event
    May 15, 2013
    Report Date
    May 16, 2013
    Manufacturer
    HILL-ROM
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT LYING ON STRETCHER AND ATTEMPTED TO TURN ON HER SIDE. THE STRETCHER BROKE AND THE BED PART OF THE STRETCHER FELL TO THE SIDE WITH PT STILL ON IT. STRETCHER WEIGHTED FOR 500 LBS. DATES OF USE: 2006 TO (B)(6) 2013. EMERGENCY DEPARTMENT STRETCHER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    248069 HILL-ROM OB/GYN TRANSTAR FPO HILL-ROM 8050

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR