FDA Adverse Event Injury Summary report: N

HERO100

MDR report key: 16493607 · Received March 7, 2023

Report

Report Number
3014660737-2023-48671
Event Type
Injury
Date Received
March 7, 2023
Date of Event
February 8, 2023
Report Date
March 2, 2023
Manufacturer
HERO HEALTH, INC
Product Code
NXB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS ABLE TO DISPENSE PILLS EVEN WITH LIGHT FILTER CLOG ON THE VACUUM/PRESSURE SYSTEM, AND THE DEVICE PASSED ALL THE FUNCTIONAL TESTS. HOWEVER, THE UNIT SUFFERED FROM SHIPPING DAMAGE, SO THE TESTS ARE NOT A TRUE REPRESENTATION OF THE DEVICE PERFORMANCE IN THE FIELD AND UNABLE TO DETERMINE THE ROOT CAUSE OF THE REPORTED EVENT. THE HERO DEVICE SHOULD NOT BE USED BY A RECIPIENT OF MEDICATION WHO IS INCAPABLE OF VERIFYING THE ACCURACY OF EACH DISPENSED DOSE (SUCH AS THOSE SUFFERING FROM DEMENTIA OR OTHER COGNITIVE OR PHYSICAL IMPAIRMENTS) UNLESS PILL DISPENSE ACCURACY IS BEING VERIFIED, IN EACH INSTANCE, BY QUALIFIED PERSON(S) TRUSTED BY THE MEDICATION RECIPIENT, I.E. A CAREGIVER, A HEALTHCARE AIDE, AND/OR A HEALTHCARE PROFESSIONAL. THE MEDICATION RECIPIENT (OR A TRUSTED QUALIFIED PERSON) MUST ALWAYS VERIFY THAT THE TYPES OF PILLS AND NUMBER OF PILLS DISPENSED BY THE HERO DEVICE MATCH THE PRESCRIBED OR DESIRED DOSAGE BEFORE INGESTING THE CONTENTS OF THE PILL CUP. THE HERO DEVICE SHOULD NOT BE USED TO DISPENSE MEDICINES THAT HAVE HIGH DOSAGE SENSITIVITY, THAT HAVE A NARROW THERAPEUTIC WINDOW, THAT ARE USED TO TREAT ACUTE CONDITIONS OR THAT ARE USED TO TREAT LIFE-THREATENING EVENTS. EVEN THOUGH THE HERO DEVICE IS CAPABLE OF SUCCESSFULLY AND ACCURATELY DISPENSING MOST WHOLE PILLS LOADED INTO THE DEVICE ON MOST OCCASIONS, HERO CANNOT GUARANTEE THE ACCURACY OF MEDICATION DISPENSED DURING EVERY DISPENSE CYCLE DUE TO THE POTENTIAL FOR HUMAN ERROR AND/OR MECHANICAL AND SOFTWARE LIMITATIONS OR FAILURES.

Additional Manufacturer Narrative · 0

THE HERO DEVICE SHOULD NOT BE USED BY A RECIPIENT OF MEDICATION WHO IS INCAPABLE OF VERIFYING THE ACCURACY OF EACH DISPENSED DOSE (SUCH AS THOSE SUFFERING FROM DEMENTIA OR OTHER COGNITIVE OR PHYSICAL IMPAIRMENTS) UNLESS PILL DISPENSE ACCURACY IS BEING VERIFIED, IN EACH INSTANCE, BY QUALIFIED PERSON(S) TRUSTED BY THE MEDICATION RECIPIENT, I.E. A CAREGIVER, A HEALTHCARE AIDE, AND/OR A HEALTHCARE PROFESSIONAL. THE MEDICATION RECIPIENT (OR A TRUSTED QUALIFIED PERSON) MUST ALWAYS VERIFY THAT THE TYPES OF PILLS AND NUMBER OF PILLS DISPENSED BY THE HERO DEVICE MATCH THE PRESCRIBED OR DESIRED DOSAGE BEFORE INGESTING THE CONTENTS OF THE PILL CUP. THE HERO DEVICE SHOULD NOT BE USED TO DISPENSE MEDICINES THAT HAVE HIGH DOSAGE SENSITIVITY, THAT HAVE A NARROW THERAPEUTIC WINDOW, THAT ARE USED TO TREAT ACUTE CONDITIONS OR THAT ARE USED TO TREAT LIFE-THREATENING EVENTS. EVEN THOUGH THE HERO DEVICE IS CAPABLE OF SUCCESSFULLY AND ACCURATELY DISPENSING MOST WHOLE PILLS LOADED INTO THE DEVICE ON MOST OCCASIONS, HERO CANNOT GUARANTEE THE ACCURACY OF MEDICATION DISPENSED DURING EVERY DISPENSE CYCLE DUE TO THE POTENTIAL FOR HUMAN ERROR AND/OR MECHANICAL AND SOFTWARE LIMITATIONS OR FAILURES.

Description of Event or Problem · 0

ON 2/08 THE USER REPORTED DISPENSE ISSUES. THE HERO SMART DISPENSER DISPENSED MULTIPLE EXTRA PILLS. THE CUSTOMER CONSUMED THE EXTRA PILLS, THEY WERE NOT FEELING WELL AND ENDED UP IN THE HOSPITAL. WE REACHED OUT TO THE CUSTOMER THREE TIMES TO FIND OUT THE REASON FOR HOSPITALIZATION AND THERE WAS NO RESPONSE.

Description of Event or Problem · 0

ON 2/08 THE USER REPORTED DISPENSE ISSUES. THE HERO SMART DISPENSER DISPENSED MULTIPLE EXTRA PILLS. THE CUSTOMER CONSUMED THE EXTRA PILLS, THEY WERE NOT FEELING WELL AND ENDED UP IN THE HOSPITAL. WE REACHED OUT TO THE CUSTOMER THREE TIMES TO FIND OUT THE REASON FOR HOSPITALIZATION AND THERE WAS NO RESPONSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
736482 HERO100 DISPENSER, SOLID MEDICATION NXB HERO HEALTH, INC H100

Patients

Seq Age Sex Outcome Treatment
1 Unknown Hospitalization