FDA Adverse Event Malfunction Summary report: N

ADVANTA BED

MDR report key: 3891674 · Received February 4, 2014

Report

Report Number
1824206-2014-00304
Event Type
Malfunction
Date Received
February 4, 2014
Date of Event
January 8, 2014
Report Date
January 8, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE UNIVERSAL TELEVISION BOARD WAS FAULTY. THE DEVICE REFERENCED IN THIS REPORT IS OVER 12 MONTHS OLD AND ACCORDING TO THE RECOMMENDED PREVENTIVE MAINTENANCE SCHEDULE AT LEAST ON E PM SHOULD BE PERFORMED EVERY 12 MONTHS. THEREFORE THE ACCEPTANCE CRITERIA, BASED ON THE DHR, WERE DETERMINED TO BE ACCEPTABLE AT THE TIME THE DEVICE WAS RELEASED GIVEN THE TIME WHICH HAS ELAPSED, THE ALLEGED FAILURE OF THE DEVICE WOULD NOT BE RELATED TO ANY ISSUE WHICH OCCURRED DURIN THE MANUFACTURING PROCESS. THE TECHNICIAN REPLACED THE UNIVERSAL TELEVISION BOARD JUNCTION BOX ASSEMBLY TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THE PATIENT POSITION MODULE BED EXIT ALARM WILL ALARM AT THE BED BUT WILL NOT SEND A NURSE CALL. 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
73790 ADVANTA BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1600

Patients

Seq Age Sex Outcome Treatment
1