NAVICARE PATIENT SAFETY 3.9.201

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2020-01-15 for NAVICARE PATIENT SAFETY 3.9.201 manufactured by Hill-rom Cary.

Event Text Entries

[178629326] Based on review of the products logs, an unable to arm bed exit notification was provided to the staff console prior to the alleged fall. This notification is by design and is an indication of an issue with the bed exit.
Patient Sequence No: 1, Text Type: N, H10


[178629327] Hillrom received a report from the account indicating the bed exit was not being properly monitored and a patient fell which resulted in an injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2027454-2020-00001
MDR Report Key9594082
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-01-15
Date of Report2019-12-16
Date of Event2019-12-16
Date Mfgr Received2019-12-16
Device Manufacturer Date2019-08-23
Date Added to Maude2020-01-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR GEOFF GORHAM
Manufacturer Street1225 CRESCENT GREEN DR., SUITE 300
Manufacturer CityCARY NC 27518
Manufacturer CountryUS
Manufacturer Postal27518
Manufacturer Phone9198543427
Manufacturer G1HILLROM
Manufacturer Street1225 CRESCENT GREEN DR., SUITE
Manufacturer CityCARY NC 27518
Manufacturer CountryUS
Manufacturer Postal Code27518
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNAVICARE PATIENT SAFETY
Generic NameNAVICARE PATIENT SAFETY
Product CodeKMI
Date Received2020-01-15
Model Number3.9.201
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM CARY
Manufacturer Address1225 CRESCENT GREEN DR., SUITE 300 CARY NC 27518 US 27518


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-15

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