FDA Adverse Event Malfunction Summary report: N

TOTALCARE BED

MDR report key: 2910546 · Received December 3, 2012

Report

Report Number
1824206-2012-07855
Event Type
Malfunction
Date Received
December 3, 2012
Date of Event
November 9, 2012
Report Date
November 9, 2012
Manufacturer
HILL-ROM INC.
Product Code
FNL
Product Problem
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 IN THE MATTRESS. THE CAUSE OF THE PROBLEM IS UNKNOWN.

Description of Event or Problem · 1

A CUSTOMER REPORTED A "STENCH" COMING FROM THE MATTRESS. THE MATTRESS WAS OPENED AND ALLEGEDLY FOUND FLUID INGRESS. 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 4TH FLOOR ICU WHEN THE ALLEGED PROBLEM WAS FOUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TOTALCARE BED AC-POWERED HOSPITAL BED FNL HILL-ROM INC. 1900

Patients

Seq Age Sex Outcome Treatment
1