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