CAREASSIST ES155/255/455, NUL 1170

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-20 for CAREASSIST ES155/255/455, NUL 1170 manufactured by Hill-rom France.

Event Text Entries

[23863184] The hill-rom technician found the communication cable missing a pin. Per the hill-rom service manual the bed should be subject to an effective maintenance program. An annual service of the bed is advised in order to maintain its characteristics and performance. Sidecom? Communication system: inspect and test the communication junction box. Make sure the sidecom? Communication system features operate correctly. Inspect the communication cable, including the male and female pins in the plug. Replace as necessary. A search of the hill-rom maintenance records showed hill-rom performed preventative maintenance on this bed in 2013 and 2015. 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.
Patient Sequence No: 1, Text Type: N, H10


[23863185] Hill-rom received a report from a hill-rom technician stating the nurse call 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).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615739-2015-00249
MDR Report Key5018054
Date Received2015-08-20
Date of Report2015-07-29
Date of Event2015-07-29
Date Mfgr Received2015-07-29
Date Added to Maude2015-08-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJOHN CUMMINGS
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129312869
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCAREASSIST ES155/255/455, NUL
Generic NameA/C POWERED ADJUSTABLE HOSPITAL BED
Product CodeFNK
Date Received2015-08-20
Model Number1170
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM FRANCE
Manufacturer Address188 RUE DU CADUCEE-PARC , EUROMEDECINE MONTPELLIER, HERAULT 34195 FR 34195


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-20

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