FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 3812540 · Received April 17, 2014

Report

Report Number
1824206-2014-01245
Event Type
Malfunction
Date Received
April 17, 2014
Date of Event
March 22, 2014
Report Date
March 22, 2014
Manufacturer
HILL-ROM INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE BED EXIT ALARM WAS NOT ACTIVATED. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2013. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE HILL-ROM TECHNICIAN ARMED THE BED EXIT TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING THE BED EXIT ALARM IS NOT WORKING. THE BED WAS LOCATED AT THE ACCOUNT IN MEDSURG ROOM 9108. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAIN (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
235998 VERSACARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 3200

Patients

Seq Age Sex Outcome Treatment
1