FDA Adverse Event
Malfunction
Summary report: N
TOTALCARE BED
MDR report key: 3881797
·
Received May 27, 2014
Report
- Report Number
- 1824206-2014-01638
- Event Type
- Malfunction
- Date Received
- May 27, 2014
- Date of Event
- April 30, 2014
- Report Date
- April 30, 2014
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- PMA / PMN Number
- K962942
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
HILL-ROM TECHNICAL SUPPORT ASKED THE ACCOUNT TO CHECK THE SPRING ON THE SIDE RAIL LATCH AND ALSO CLEAN THE LATCH ASSEMBLY IF NEEDED. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THREE ATTEMPTS HAVE BEEN MADE TO RECEIVE RESOLUTION FROM THE ACCOUNT WITH NO FEEDBACK. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.
Description of Event or Problem · 1
THE ACCOUNT REPORTED THE SIDE RAIL WILL NOT LATCH. THE BED WAS 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 |
|---|---|---|---|---|---|---|---|
| 311574 | TOTALCARE BED | A/C POWERED ADJUSTABLE HOSP. BED | FNL | HILL-ROM, INC. | 1900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |