FDA Adverse Event Malfunction Summary report: N

ADVANTA 2 FRAME

MDR report key: 12350384 · Received August 20, 2021

Report

Report Number
3006697241-2021-00071
Event Type
Malfunction
Date Received
August 20, 2021
Date of Event
July 29, 2021
Report Date
July 29, 2021
Manufacturer
HILL-ROM MEXICO
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILLROM TECHNICIAN FOUND THE SIDERAIL CABLE ASSY NEEDED TO BE REPLACED. PER THE HILLROM SERVICE MANUAL THE ADVANTA" 2 SHOULD BE SUBJECT TO AN EFFECTIVE MAINTENANCE PROGRAM. TEST EACH OF THE BUTTONS TO CHECK THAT THEY ACTIVATE THE CORRECT FUNCTION AND THAT THEY DO NOT WORK INTERMITTENTLY BY PRESSING EACH BUTTON FOR SEVERAL SECONDS. EACH MOVEMENT MUST BE CONTINUOUS. REPLACE THE PENDANT IF NECESSARY. A SEARCH OF THE HILLROM MAINTENANCE RECORDS SHOWED HILLROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN OCTOBER 6TH 2020. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN HAS ORDER AND WILL REPLACED THE SIDERAIL CABLE (PART#141806) TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILLROM RECEIVED A REPORT FROM A HILLROM TECHNICIAN STATING THE HEAD OF THE BED WAS MOVING ON IT'S OWN. THE BED WAS LOCATED AT THE ACCOUNT. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1245893 ADVANTA 2 FRAME BED, AC-POWERED ADJUSTABLE HOSPITAL FNL HILL-ROM MEXICO P1190A000072

Patients

Seq Age Sex Outcome Treatment
1