FDA Adverse Event Malfunction Summary report: N

TOTALCARE BED

MDR report key: 3931736 · Received April 15, 2014

Report

Report Number
1824206-2014-01197
Event Type
Malfunction
Date Received
April 15, 2014
Date of Event
March 18, 2014
Report Date
March 18, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K962942
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE SIDE COM BOARD DID NOT FUNCTION MOST LIKELY DUE TO NORMAL WEAR AND TEAR. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2006 THROUGH 2013. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE SIDE COM POWER CONTROL BOARD ASSEMBLY WAS REPLACED BY THE TECHNICIAN TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THAT THE NURSE CALL FUNCTION WAS NOT WORKING ON THE BED. THE BED WAS LOCATED IN ENGINEERING AT THE FACILITY. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT NUMBER (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
231538 TOTALCARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1900

Patients

Seq Age Sex Outcome Treatment
1