FDA Adverse Event
Malfunction
Summary report: N
VERSACARE BED
MDR report key: 3220611
·
Received June 24, 2013
Report
- Report Number
- 1824206-2013-03218
- Event Type
- Malfunction
- Date Received
- June 24, 2013
- Date of Event
- April 23, 2013
- Report Date
- May 30, 2013
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN INVESTIGATED THE ALLEGED INCIDENT AND THE ACCOUNT STATED THAT THE PATIENT WAS ADMITTED TO THE HOSPITAL DUE TO A FALL AT HOME. THE NURSE STATED THEY WERE OUTSIDE THE PATIENT'S ROOM AT THE HOSPITAL AND HEARD THE PATIENT FALL. THE NURSE ENTERED THE ROOM AND FOUND THE PATIENT HAD FALLEN ON HER LEFT SIDE. THE NURSE ALLEGEDLY CHECKED THE BED EXIT STATUS ON THE BED AND ALLEGED THAT IT WAS STILL SET BUT NOT ALARMING. THE STAFF DID NOT NOTE WHAT BED THE PATIENT WAS IN AT THE TIME OF THE ALLEGED FALL. THE STAFF DID NOT REMOVE THE BED IN QUESTION FROM SERVICE.
Description of Event or Problem · 1
THE ACCOUNT ALLEGED THERE WAS A PATIENT FALL RESULTING IN AN INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 284901 | VERSACARE BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 3200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 82 YR | Other |