FDA Adverse Event Malfunction Summary report: N

TOTALCARE BARIATRIC BED

MDR report key: 3893542 · Received February 14, 2014

Report

Report Number
1824206-2014-00436
Event Type
Malfunction
Date Received
February 14, 2014
Date of Event
January 16, 2014
Report Date
January 16, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K122473
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND A BENT SIDE RAIL LATCH COVER IS THE CAUSE OF THE ISSUE. THE TECHNICIAN REPLACED THE LEFT FOOT SIDE RAIL LATCH COVER TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THE LEFT FOOT SIDE RAIL IS NOT LATCHING. THE BED IS LOCATED AT THE HILL-ROM SERVICE CENTER. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
98915 TOTALCARE BARIATRIC BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1840

Patients

Seq Age Sex Outcome Treatment
1