FDA Adverse Event Malfunction Summary report: N

VERSACARE FRAME

MDR report key: 13253293 · Received January 13, 2022

Report

Report Number
1824206-2022-00025
Event Type
Malfunction
Date Received
January 13, 2022
Date of Event
January 10, 2022
Report Date
January 13, 2022
Manufacturer
HILL-ROM BATESVILLE
Product Code
FNL
UDI-DI
00887761000872
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE HILLROM TECHNICIAN FOUND THE HAND PENDANT NEEDED TO BE REPLACED. PER THE HILLROM SERVICE MANUAL THE VERSACARE BED REQUIRES AN EFFECTIVE MAINTENANCE PROGRAM. WE RECOMMEND THAT YOU PERFORM ANNUAL PREVENTATIVE MAINTENANCE. PAY PARTICULAR ATTENTION TO SAFETY FEATURES, WHICH INCLUDE BUT ARE NOT LIMITED TO: ALL CAREGIVER AND PATIENT CONTROLS, ALONG WITH THEIR INDICATORS, OPERATE CORRECTLY; THIS INCLUDES CONTROLS FOR NURSE CALL. REPLACE OR REPAIR PARTS AS NECESSARY. A SEARCH OF THE HILLROM MAINTENANCE RECORDS SHOWED HILLROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN SEP 18, 2020. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN REPLACED THE HAND PENDANT TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 0

HILLROM RECEIVED A REPORT FROM A HILLROM TECHNICIAN STATING THE BED NURSE CALL WAS NOT WORKING FROM THE HAND PENDANT OR SIDE RAIL. 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
1545477 VERSACARE FRAME BED, AC-POWERED ADJUSTABLE HOSPITAL FNL HILL-ROM BATESVILLE P3200K000433 00887761000872

Patients

Seq Age Sex Outcome Treatment
1 Unknown