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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HILL-ROM, INC. VERSACARE BED; A/C POWERED ADJUSTABLE HOSPITAL BED
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HILL-ROM, INC. VERSACARE BED; A/C POWERED ADJUSTABLE HOSPITAL BED Back to Search Results
Model Number 3200
Device Problem Positioning Problem (3009)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 05/12/2015
Event Type  malfunction  
Event Description
Hill-rom received a report from the account stating the intellidrive would run in reverse when handles were pushed forward.The bed was located at the account.There was no pt/user injury reported.(b)(4).
 
Manufacturer Narrative
The hill-rom tech found a pinched wire cable that was shorting out.A search of the hill-rom maintenance records did not show hill-rom performed preventative maintenance on this bed.It is unk if the facility performs preventative maintenance on its beds.Hill-rom tech replaced the left push handle assembly to resolve the issue.Based on this info, no further action is required.
 
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Brand Name
VERSACARE BED
Type of Device
A/C POWERED ADJUSTABLE HOSPITAL BED
Manufacturer (Section D)
HILL-ROM, INC.
batesville IN
Manufacturer Contact
john cummings
1069 state rte 46 east
batesville, IN 47006
8129312869
MDR Report Key4843919
MDR Text Key5937169
Report Number1824206-2015-00639
Device Sequence Number1
Product Code FNL
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Unknown
Type of Report Initial
Report Date 05/12/2015
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 Operator Other
Device Model Number3200
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 05/12/2015
Initial Date FDA Received06/04/2015
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured04/01/2014
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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