FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 3896723 · Received May 20, 2014

Report

Report Number
1824206-2014-01600
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
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

HILL-ROM TECHNICAL SUPPORT SUGGESTED THAT THE CUSTOMER REPLACE THE SIDE COM POWER CONTROL BOARD. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNK IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THREE ATTEMPTS FOR RESOLUTION WERE MADE TO THE ACCOUNT WITH NO FEEDBACK. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE NURSE CALL FUNCTION WAS NOT FUNCTIONING ON THE BED. THE BED WAS LOCATED IN THE BED SHOP AT THE FACILITY. 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
299665 VERSACARE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 3200

Patients

Seq Age Sex Outcome Treatment
1