300 WOUND SURFACE P4937EAS1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,consum report with the FDA on 2017-08-09 for 300 WOUND SURFACE P4937EAS1 manufactured by Hill-rom Batesville.

Event Text Entries

[82158463] The hill-rom technician evaluated the bed and found the snaps on the center cushions had become unsnapped. The technician reconnected the snaps on the center cushions to resolve the issue. The patient is being treated with mupirocin ointment. The pressure sore is nearly healed and the patient will be seeing the wound care doctor again next week. Per the hill-rom service manual, during the initial inflation of mattress with bolster, the installer should adjust the bolsters into the proper location on the surface. 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. Based on this information, no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[82158464] Hill-rom received a report from the account stating the patient had skin breakdown due to the bladders shifting inside the mattress. 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 Number1824206-2017-00335
MDR Report Key6777202
Report SourceCOMPANY REPRESENTATIVE,CONSUM
Date Received2017-08-09
Date of Report2017-07-26
Date of Event2017-07-26
Date Mfgr Received2017-07-26
Device Manufacturer Date2015-11-12
Date Added to Maude2017-08-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactERIN PADGETT
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129312791
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name300 WOUND SURFACE
Generic NameBED FLOTATION THERAPY POWERED
Product CodeIOQ
Date Received2017-08-09
Model NumberP4937EAS1
OperatorOTHER CAREGIVERS
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM BATESVILLE
Manufacturer Address1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
10 2017-08-09

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