FDA Adverse Event Malfunction Summary report: N

TOTALCARE BED

MDR report key: 4792458 · Received February 25, 2015

Report

Report Number
1824206-2015-00278
Event Type
Malfunction
Date Received
February 25, 2015
Date of Event
January 29, 2015
Report Date
January 29, 2015
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K122473
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE COMMUNICATION CABLE WAS THE ISSUE. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2012-2014. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN REPLACED THE COMMUNICATION CABLE TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING THE NURSE CALL WOULD NOT ALARM. THE BED WAS LOCATED IN MB 30 AT THE FACILITY. THERE WAS NO PATIENT/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
132031 TOTALCARE BED A/C POWERED ADJUSTABLE HOSP. BED. FNL HILL-ROM, INC. 1840

Patients

Seq Age Sex Outcome Treatment
1