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 |