FDA Adverse Event Malfunction Summary report: N

TOTAL CARE BED

MDR report key: 3810308 · Received April 10, 2014

Report

Report Number
1824206-2014-01131
Event Type
Malfunction
Date Received
April 10, 2014
Date of Event
March 13, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K962942
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH FOUND THE NURSE CALL NOT FUNCTIONING CORRECTLY DUE TO SIDECOMM BOARD HAS MULTIPLE BENT PINS. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2005-2013. IT IS UNK IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECH REPLACED THE SIDECOMM BOARD AND CONNECTED THE CABLE TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM A HILL-ROM TECH STATING THE NURSE CALL CABLE WAS UNABLE TO CONNECT TO THE SIDECOMM POWER CONTROL BOARD (NURSE CALL NOT WORKING). THE BED WAS LOCATED AT THE ACCOUNT IN THE BED SHOP. THERE WAS NO PT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
216261 TOTAL CARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1900

Patients

Seq Age Sex Outcome Treatment
1