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