ENVELLA AIR FLUIDIZED THERAPY BED P0819A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-19 for ENVELLA AIR FLUIDIZED THERAPY BED P0819A manufactured by Hill-rom Inc..

Event Text Entries

[128249786] Hill-rom envella bed ordered for pressure relief for morbidly obese, immobile, ventilated patient. Electrical issue (per the communications from both baxter and hill rom is r/t static electricity) caused baxter iv pumps to shut down and restart with error message 341. This occurred with multiple pumps and could have led to interruption of critical med strips.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5081502
MDR Report Key8090627
Date Received2018-11-19
Date of Report2018-11-07
Date of Event2018-10-31
Date Added to Maude2018-11-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameENVELLA AIR FLUIDIZED THERAPY BED
Generic NameBED, AIR FLUIDIZED
Product CodeINX
Date Received2018-11-19
Model NumberP0819A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM INC.
Manufacturer Address1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-11-19

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