FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 3823679 · Received February 28, 2014

Report

Report Number
9615739-2014-00081
Event Type
Malfunction
Date Received
February 28, 2014
Date of Event
January 31, 2014
Report Date
January 31, 2014
Manufacturer
HILL-ROM PLUVIGNER
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN REPLACED THE SIDE COM BOARD, SIDE RAIL INTERFACE BOARD AND THE SIDE COM CABLE AND THE ISSUE REMAINS. THE TECHNICIAN FOUND THE SIDE COM INTERFACE BOARD CABLE ASSEMBLY IS OPEN CAUSING THE ISSUE. 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 TECHNICIAN REPLACED THE BED FUNCTION CABLE ASSEMBLY TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THAT THE BED HAS NO NURSE CALL AND HE CANNOT SET THE BED EXIT ALARM. THE BED IS LOCATED IN THE BED SHOP AT THE FACILITY. THERE WAS NO PATIENT/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
123742 CAREASSIST BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM PLUVIGNER 1170

Patients

Seq Age Sex Outcome Treatment
1