FDA Adverse Event Death Summary report: N

NAVICARE NURSE CALL

MDR report key: 10494436 · Received September 4, 2020

Report

Report Number
2027454-2020-00002
Event Type
Death
Date Received
September 4, 2020
Date of Event
August 7, 2020
Report Date
September 3, 2020
Manufacturer
HILL ROM
Product Code
ILQ
UDI-DI
00887761985209
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

HILLROM INVESTIGATION FOUND NO PRODUCT ERROR AND THE REPORTED ISSUE WAS NOT ABLE TO BE DUPLICATED. A REVIEW OF THE LOG FILES INDICATE THE NURSE CALL SYSTEM WAS ALERTING CALLS FROM THE 3RD PARTY EQUIPMENT IN QUESTION PRIOR TO THE EVENT AND INDICATE A POTENTIAL ERROR WITH THE 3RD PARTY EQUIPMENT. THE LOGS INDICATE THE DAY PRIOR TO THE EVENT THE NURSE CALL SYSTEM HAD A EQUIPMENT DISCONNECT CALL FOR THE 3RD PARTY EQUIPMENT, WHICH WAS CANCELED IN THE ROOM. THE CONCLUSION IS THE EQUIPMENT WAS NOT RECONNECTED AFTER THIS CALL WAS CANCELED. HILLROM REQUESTED ACCESS TO THE 3RD PARTY EQUIPMENT, HOWEVER THE USER FACILITY HAS NOT PROVIDED ACCESS.

Description of Event or Problem · 1

HILLROM RECEIVED A REPORT FROM THE ACCOUNT THAT NO NURSE CALL WAS RECEIVED FROM A VENTILATOR CONNECTED TO THE NURSE CALL SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
961845 NAVICARE NURSE CALL NAVICARE NURSE CALL ILQ HILL ROM NNC 3.9.201 00887761985209

Patients

Seq Age Sex Outcome Treatment
1 Death