FDA Adverse Event
Malfunction
Summary report: N
TOTALCARE
MDR report key: 2191749
·
Received July 28, 2011
Report
- Report Number
- 1824206-2011-03992
- Event Type
- Malfunction
- Date Received
- July 28, 2011
- Date of Event
- May 26, 2011
- Report Date
- May 26, 2011
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THE SEAL FOR THE MANUAL CPR VALVE WAS DETERIORATED, DEFORMED AND STUCK IN THE PILOT VALVE INSIDE THE MANIFOLD. THE TECHNICIAN REMOVED THE REMAINING PIECES OF THE SEAL AND REPLACED THE CPR VALVE TO REPAIR THE BED.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE HEAD SECTION WILL NOT GO DOWN USING MANUAL CPR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOTALCARE | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |