FDA Adverse Event
Malfunction
Summary report: N
TOTALCARE BED
MDR report key: 3896294
·
Received May 20, 2014
Report
- Report Number
- 1824206-2014-01550
- Event Type
- Malfunction
- Date Received
- May 20, 2014
- Date of Event
- April 23, 2014
- Report Date
- April 23, 2014
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- PMA / PMN Number
- K962942
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ACCOUNT DID NOT PERFORM A FAILURE ANALYSIS BUT DID FIND THE CAUSE TO BE THE POWER CONTROL MODULE POWER CONTROL BOARD ASSEMBLY. 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 ITS BEDS. THE ACCOUNT REPLACED THE POWER CONTROL MODULE POWER CONTROL BOARD ASSEMBLY TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.
Description of Event or Problem · 1
THE ACCOUNT REPORTED THAT THE BED EXIT ALARM WILL SOUND AT THE NURSE'S STATION BUT NOT AT THE BED. THE BED WAS LOCATED IN THE REPAIR AREA AT THE FACILITY. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 300715 | TOTALCARE BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | 1900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |