MAUDE Adverse Event Report: HILL-ROM, INC. ADVANCE BED; A/C POWERED ADJUSTABLE HOSPITAL BED

Model Number 1145

Device Problems Device Alarm System (1012); Connection Problem (2900)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 01/15/2014

Event Type  malfunction  

Event Description

The tech reported he is unable to plug the communication cable into the wall outlet for nurse call function.The bed is located in the med surge unit of the facility.There was no pt/user injury reported.(b)(4).

Manufacturer Narrative

The tech found bent pins on the communication cable.The tech replaced the straightened the pins on the communication cable to resolve the issue.Based on this info, no further action is required.

• Brand Name: ADVANCE BED
• Type of Device: A/C POWERED ADJUSTABLE HOSPITAL BED
• Manufacturer (Section D): HILL-ROM, INC.; batesville IN
• Manufacturer Contact: jennifer morris ; 1069 state route 46 e; batesville, IN 47006 ; 8129313121
• MDR Report Key: 3883797
• MDR Text Key: 17280576
• Report Number: 1824206-2014-00406
• Device Sequence Number: 1
• Product Code: FNL
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Company Representative
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/15/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/13/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Model Number: 1145
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 01/15/2014
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 06/01/1995
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1