FDA Adverse Event Malfunction Summary report: N

TOTALCARE BED

MDR report key: 4906525 · Received July 7, 2015

Report

Report Number
1824206-2015-00706
Event Type
Malfunction
Date Received
July 7, 2015
Date of Event
June 11, 2015
Report Date
June 11, 2015
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K122473
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE POWER CONTROL BOARD ASSEMBLY INOPERABLE. A SEARCH OF THE HILL-MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THE TECHNICIAN REPLACED THE CONTROL BOARD ASSEMBLY 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 WAS INOPERATIVE. THE BED WAS LOCATED AT THE ACCOUNT. 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
439436 TOTALCARE BED A/C POWERED ADJUSTABEL HOSPITAL BED FNL HILL-ROM, INC. 1900

Patients

Seq Age Sex Outcome Treatment
1