HILL-ROM VERSACARE A.I.R. BED P3200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-02 for HILL-ROM VERSACARE A.I.R. BED P3200 manufactured by Hill-rom, Inc..

Event Text Entries

[173951791] Following a patient fall that resulted in injury, it was identified that the bed alarm was not working. Upon further examination by the biomedical technician, the bed alarm sound board stopped working resulting in the alarm not functioning as designed. There was no visible damage to the board, no cracks or problem noted. The manufacturer was contacted for support in repair/replacement. The installation date of the unit was march 25, 2014. Fda safety report id (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092005
MDR Report Key9540634
Date Received2020-01-02
Date of Report2019-12-31
Date of Event2019-09-20
Date Added to Maude2020-01-02
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 Report3

Device Details

Brand NameHILL-ROM VERSACARE A.I.R. BED
Generic NameBED, FLOTATION THERAPY, POWERED
Product CodeIOQ
Date Received2020-01-02
Model NumberP3200
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM, INC.
Manufacturer AddressBATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-02

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