ENVELLA BED P0819A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2019-04-11 for ENVELLA BED P0819A manufactured by Hill-rom Batesville.

Event Text Entries

[145658687] The hill-rom technician found the front brake casters needed to be replaced. Per the hill-rom service manual, it is necessary for the envella? Air fluidized therapy system to have an effective maintenance program. We recommend that you do annual preventive maintenance (pm). Pm can help make sure of a long, operative life for the unit. Check that the brakes and steering operate correctly. Check that the casters are in good condition; they do not have cuts, are not worn, and have a good amount of tread. Repair or replace the part as applicable. 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 technician replaced the front brake casters to resolve the issue. Based on this information, no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[145658688] Hill-rom received a report from the account stating the brakes were not holding. 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 Number1824206-2019-00141
MDR Report Key8505287
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2019-04-11
Date of Report2019-03-26
Date of Event2019-03-26
Date Mfgr Received2019-03-26
Device Manufacturer Date2018-06-10
Date Added to Maude2019-04-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactEMILY MITCHELL
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129310130
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENVELLA BED
Generic NameBED, AIR FLUIDIZED
Product CodeINX
Date Received2019-04-11
Model NumberP0819A
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 2019-04-11

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