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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HILL-ROM BATESVILLE REMAN TC BARIATRIC BED(FIELD); BED, FLOTATION THERAPY, POWERED

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HILL-ROM BATESVILLE REMAN TC BARIATRIC BED(FIELD); BED, FLOTATION THERAPY, POWERED Back to Search Results
Model Number PR1840A000001
Device Problem Activation Problem (4042)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/04/2024
Event Type  malfunction  
Manufacturer Narrative
The baxter technician found the cpr valve needed to be replaced.Per the hillrom service manual the totalcare bariatric bed and totalcare bed system requires an effective maintenance program.We recommend that you perform a semi-annual preventative maintenance.Test the cpr release for correct operation and reset of the head cylinder.A search of the baxter maintenance records did not show baxter performed any preventative maintenance on this bed.It is unknown if the facility performs preventative maintenance on their beds.The technician replaced the power cord to resolve the reported event.Based on this information, no further action is required.
 
Event Description
Baxter received a report from a baxter technician stating the cpr was inoperative.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).
 
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Brand Name
REMAN TC BARIATRIC BED(FIELD)
Type of Device
BED, FLOTATION THERAPY, POWERED
Manufacturer (Section D)
HILL-ROM BATESVILLE
1069 state route 46 east
batesville IN 47006
Manufacturer Contact
estephania cardenas
1069 state route 46 east
batesville, IN 47006
8129310130
MDR Report Key19159920
MDR Text Key341300687
Report Number1824206-2024-00530
Device Sequence Number1
Product Code IOQ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K122473
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 04/22/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model NumberPR1840A000001
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 04/04/2024
Initial Date FDA Received04/22/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Type of Device Usage Reuse
Patient Sequence Number1
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