FDA Adverse Event Malfunction Summary report: N

ADVANCE BED

MDR report key: 3931753 · Received April 15, 2014

Report

Report Number
1824206-2014-01201
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
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THAT THE COMMUNICATION CABLE HAD BENT PINS ON THE CONNECTOR THAT PLUGS INTO THE NURSE CALL SYSTEM. THE MOST LIKELY CAUSE IS THE ACCOUNT NOT ALIGNING THE COMMUNICATION CABLE WITH THE CONNECTOR ON THE NURSE CALL SYSTEM WHILE PLUGGING IT IN. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2009 THROUGH 2014. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN REPLACED THE COMMUNICATION CABLE WITH CUSTOMER OWNED PART TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE NURSE CALL FUNCTION WAS NOT WORKING. THE BED IS LOCATED IN THE BED SHOP 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
230975 ADVANCE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 1155

Patients

Seq Age Sex Outcome Treatment
1