FDA Adverse Event
Other
Summary report: N
TOTALCARE BED
MDR report key: 2872377
·
Received December 3, 2012
Report
- Report Number
- 1824206-2012-07848
- Event Type
- Other
- Date Received
- December 3, 2012
- Date of Event
- November 9, 2012
- Report Date
- November 9, 2012
- Manufacturer
- HILL-ROM IC.
- Product Code
- FNL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE CUSTOMER REPLACED THE MATTRESS TO RESOLVE THE ALLEGED ISSUE OF FLUID INGRESS INTO THE MATTRESS. THE CAUSE OF THE INGRESS IS UNKNOWN.
Description of Event or Problem · 1
A CUSTOMER REPORTED A "STENCH" COMING FROM THE MATTRESS. THE MATTRESS WAS OPENED AND THEY ALLEGEDLY FOUND FLUID INGRESS INSIDE THE MATTRESS. THEY STATED THAT THEY HAVE BEEN USING "QUATERNARY AMMONIA" TO CLEAN THE MATTRESS, AND THAT THE MATTRESS TICKING HAD NEVER BEEN OPENED UNTIL THE DISCOVERY OF FLUID INGRESS. THE BED WAS LOCATED ON THE FOURTH FLOOR ICU WHEN THE ALLEGED PROBLEM WAS FOUND. THEY ARE ALLEGING THAT THE PATIENT HAS CONTRACTED A BACTERIA FROM THE MATTRESS, BUT WOULD NOT TELL STATE WHAT KIND OF BACTERIA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOTALCARE BED | AC-POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM IC. | 1900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |