FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 3925079 · Received June 17, 2014

Report

Report Number
1824206-2014-01788
Event Type
Malfunction
Date Received
June 17, 2014
Date of Event
May 21, 2014
Report Date
May 21, 2014
Manufacturer
HILL-ROM INC
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE BED EXIT ALARM NOT WORKING DUE TO THE SCALE POWER CONTROL BOARD SPEAKER INOPERABLE. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2011-2013. IT IS UNK IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN REPLACED THE SCALE POWER CONTROL BOARD SPEAKER TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT THAT A HILL-ROM TECHNICIAN FOUND A NOTE ON THE BED STATING THE BED EXIT ALARM IS NOT WORKING. THE BED WAS LOCATED AT THE ACCOUNT IN STORAGE. 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
355944 VERSACARE BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC 3200

Patients

Seq Age Sex Outcome Treatment
1