FDA Adverse Event Malfunction Summary report: N

TOTALCARE BED

MDR report key: 3931701 · Received April 14, 2014

Report

Report Number
1824206-2014-01182
Event Type
Malfunction
Date Received
April 14, 2014
Date of Event
March 17, 2014
Report Date
March 17, 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 TECHNICIAN INVESTIGATED AND FOUND THE CAUSE WAS DUE TO THE SIDE COM CABLE BEING DEFECTIVE. THE SIDE COM CABLE HAD NOT BEEN RECORDED AS REPLACED AND THE BED WAS DELIVERED TO THE ACCOUNT IN 2008. THE SIDE COM CABLE WAS MOST LIKELY WORN FROM NORMAL WEAR AND TEAR. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2011 THROUGH 2014. IT IS UNK IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE SIDE COM CABLE WAS REPLACED TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECH REPORTED THAT THE BED EXIT ALARM ON THE BED WOULD NOT ALARM AT THE BED BUT DID PLACE A CALL TO THE NURSE'S STATION. 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
228869 TOTALCARE BED A/C POWERED ADJUSTABLE HOSP BED FNL HILL-ROM, INC. 1900

Patients

Seq Age Sex Outcome Treatment
1