FDA Adverse Event Malfunction Summary report: N

VERSACARE BED

MDR report key: 5093543 · Received September 22, 2015

Report

Report Number
1824206-2015-00905
Event Type
Malfunction
Date Received
September 22, 2015
Date of Event
August 31, 2015
Report Date
August 31, 2015
Manufacturer
HILL-ROM BATESVILLE
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE NURSE CALL CABLE PINS WERE DAMAGED. PER THE HILL-ROM USER MANUAL, WARNING: A COMMUNICATION CABLE MUST BE USED FOR BEDS THAT HAVE NURSE CALL. FAILURE TO DO SO COULD CAUSE PATIENT INJURY. FOR BEDS THAT HAVE NURSE CALL SYSTEMS, A COMMUNICATION CABLE MUST BE CONNECTED BETWEEN THE BED AND FACILITY COMMUNICATION SYSTEM. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2014 AND 2015. IT IS UNKNOWN IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECHNICIAN REPLACED THE 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 A HILL-ROM TECHNICIAN STATING THE NURSE CALL WAS NOT WORKING. 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
625355 VERSACARE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM BATESVILLE 3200

Patients

Seq Age Sex Outcome Treatment
1