FDA Adverse Event Injury Summary report: N

TOTALCARE BARIATRIC BED

MDR report key: 4992204 · Received August 7, 2015

Report

Report Number
1824206-2015-00797
Event Type
Injury
Date Received
August 7, 2015
Date of Event
July 10, 2015
Report Date
July 10, 2015
Manufacturer
HILL-ROM INC.
Product Code
FNL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE PATIENT WAS TURNING HIMSELF IN THE BED. THE PATIENT LEANED AGAINST THE SIDERAIL AND IT GAVE AWAY. THE PATIENT FELL FROM THE BED. THE PATIENT WAS TAKEN FOR X-RAYS WHICH SHOWED HIS HIP WAS BROKEN. NO SURGERY WAS NEEDED AND IS BEING TREATED BY THE STAFF. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THE HILL-ROM TECHNICIAN FOUND THE BED FUNCTIONING AS DESIGNED. THE REPORTED INJURY IS SERIOUS IN NATURE PER FDA DEFINITION. NO FURTHER INFORMATION IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME. IF ANY ADDITIONAL RELEVANT INFORMATION IS IDENTIFIED FOLLOWING COMPLETION OF THE REPAIR, THE ADDITIONAL RELEVANT INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING ALLEGED THAT A PATIENT FELL OFF THE BED. THE PATIENT FELL AND BROKE HIS HIP. THE BED WAS LOCATED AT THE ACCOUNT. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
520988 TOTALCARE BARIATRIC BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM INC. 1840

Patients

Seq Age Sex Outcome Treatment
1 60 YR Other