FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 3240036 · Received July 11, 2013

Report

Report Number
1824206-2013-03470
Event Type
Malfunction
Date Received
July 11, 2013
Date of Event
June 17, 2013
Report Date
June 17, 2013
Manufacturer
HILL-ROM INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACCOUNT MADE ADJUSTMENTS TO THE CARDIO PULMONARY RESUSCITATION CABLES BUT THE ISSUE REMAINED. THE ACCOUNT FOUND THAT THE PIN USED TO ACTIVATE THE CARDIO PULMONARY RESUSCITATION HAD BECOME STUCK IN THE HEAD DRIVE MOTOR. THE ACCOUNT REPLACED THE HEAD DRIVE MOTOR TO RESOLVE THE ISSUE.

Description of Event or Problem · 1

THE ACCOUNT ALLEGED THE BED WOULD GO INTO REVERSE TRENDELENBURG WHEN THE CARDIO PULMONARY RESUSCITATION WAS USED, EVEN AFTER LETTING GO OF THE CARDIO PULMONARY RESUSCITATION LEVER THE BED WOULD CONTINUE TO MOVE. NO PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
321184 VERSACARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 3200

Patients

Seq Age Sex Outcome Treatment
1