MAUDE Adverse Event Report: HILL-ROM TOTAL CARE BED; A/C POWERED ADJUSTABLE HOSPITAL BED

Model Number PR1840A000001

Device Problem Insufficient Information (3190)

Patient Problems Fall (1848); Hip Fracture (2349)

Event Date 07/10/2015

Event Type  Injury  

Event Description

Hill rom total care bariatric bed pr 1840 with side rails up- turned with assist of one threw leg over bottom rail, and rail released, causing pt to fall out of the bed onto floor sustaining a hip fracture.

• Brand Name: TOTAL CARE BED
• Type of Device: A/C POWERED ADJUSTABLE HOSPITAL BED
• Manufacturer (Section D): HILL-ROM
• MDR Report Key: 5129966
• MDR Text Key: 27625480
• Report Number: MW5056836
• Device Sequence Number: 1
• Product Code: FNL
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Nurse
• Report Date: 09/30/2015

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: PR1840A000001
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 09/30/2015
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization
• Patient Age: 68 YR
• Patient Weight: 191