FDA Adverse Event
Malfunction
Summary report: N
TOTAL CARE
MDR report key: 2052465
·
Received March 16, 2011
Report
- Report Number
- 1824206-2011-01609
- Event Type
- Malfunction
- Date Received
- March 16, 2011
- Date of Event
- February 24, 2011
- Report Date
- February 24, 2011
- Manufacturer
- HILL-ROM INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TECHNICIAN STATED, HE COULD WATCH THE DRIFT HAPPEN. NO PT INVOLVED. NO PT IMPACT. CHECKED THE EMERGENCY CPR RELEASE CONNECTION. VERIFIED IT HAD PLAY BETWEEN THE PEDAL AND THE VALVE STEM AND COULD SEE IT ACTUATE WHEN CPR PEDAL WAS USED. NO OBVIOUS FLUID LEAKS. REPLACED THE HEAD UP VALVE ON THIS BED'S HYDRAULIC MANIFOLD TO RESOLVE THIS ISSUE. UNIT IS BACK IN SERVICE.
Description of Event or Problem · 1
COMPLAINT ALLEGED THAT THE HEAD SECTION WAS DRIFTING ON THE BED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOTAL CARE | AC POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM INC. | PR1900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |