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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HILL-ROM TOTAL CARE SPORT HOSPITAL BED

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HILL-ROM TOTAL CARE SPORT HOSPITAL BED Back to Search Results
Model Number P19OU
Device Problem Smoking (1585)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 06/12/2016
Event Type  malfunction  
Event Description
When bed plugged into outlet smoke coming from area of outlet! unplugged bed, moved pt to different room and bed. No injury occurred. Cord replaced by maintenance.
 
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Brand NameTOTAL CARE SPORT
Type of DeviceHOSPITAL BED
Manufacturer (Section D)
HILL-ROM
bakesville IN
MDR Report Key6232610
MDR Text Key64347826
Report NumberMW5067114
Device Sequence Number1
Product Code FNJ
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation
Type of Report Initial
Report Date 12/30/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/30/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberP19OU
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated by Manufacturer? No Answer Provided
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device?
Type of Device Usage

Patient Treatment Data
Date Received: 12/30/2016 Patient Sequence Number: 1
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