FDA Adverse Event Malfunction Summary report: N

TOTALCARE BARIATRIC PLUS BED

MDR report key: 3896369 · Received May 20, 2014

Report

Report Number
1824206-2014-01605
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
April 25, 2014
Report Date
April 25, 2014
Manufacturer
HILL-ROM INC.
Product Code
FNL
PMA / PMN Number
K122473
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE RENTAL BED COULD NOT BE REPAIRED AT THE ACCOUNT AND WAS SWAPPED FOR A KNOWN WORKING BED. THE TECHNICIAN FOUND THE LEFT SIDE RAIL WAS ABLE TO BE RAISED UP, ALMOST TO THE FULL UP POSITION, BUT IT WOULD NOT LATCH, DUE TO THE LATCH COVER BEING BENT. THE MOST LIKELY CAUSE OF THE BENT LATCH COVER IS FORCE. THE TECHNICIAN REPAIRED THE LEFT SIDE RAIL LATCH COVER BY BENDING IT BACK INTO PROPER POSITION TO RESOLVE THIS ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE LEFT SIDE RAIL WILL NOT STAY LATCHED. THE BED WAS LOCATE DIN ROOM 313-1. THERE WAS NO PT/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
300713 TOTALCARE BARIATRIC PLUS BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 1840

Patients

Seq Age Sex Outcome Treatment
1