inforMED
InjuryNXB

HERO 100

Received Jul 18, 2024

Report 3014660737-2024-82861 · MDR key 19770756

Device

Generic name

Dispenser, Solid Medication

Manufacturer

Hero Health, Inc

Model number

H100

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

NA · Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

AS PER ENGINEERS PHYSICAL EVALUATION OT THE DEVICE THE ROOT CAUSE OF THE REPORTED EVENT IS A FILTER CLOG, CASUED BY A ACCUMULATED MEDICATION DUST. THE HERO DEVICE SHOULD NOT BE USED BY A RECIPIENT OF MEDICATION WHO IS INCAPABLE OF VERIFYING THE ACCURACY OF EACH DISPENSED DOSE (SUCH AS THOSE SUFFERING FROM DEMENTIA OR OTHER COGNITIVE OR PHYSICAL IMPAIRMENTS) UNLESS PILL DISPENSE ACCURACY IS BEING VERIFIED, IN EACH INSTANCE, BY QUALIFIED PERSON(S) TRUSTED BY THE MEDICATION RECIPIENT, I.E. A CAREGIVER, A HEALTHCARE AIDE, AND/OR A HEALTHCARE PROFESSIONAL. THE MEDICATION RECIPIENT (OR A TRUSTED QUALIFIED PERSON) MUST ALWAYS VERIFY THAT THE TYPES OF PILLS AND NUMBER OF PILLS DISPENSED BY THE HERO DEVICE MATCH THE PRESCRIBED OR DESIRED DOSAGE BEFORE INGESTING THE CONTENTS OF THE PILL CUP. THE HERO DEVICE SHOULD NOT BE USED TO DISPENSE MEDICINES THAT HAVE HIGH DOSAGE SENSITIVITY, THAT HAVE A NARROW THERAPEUTIC WINDOW, THAT ARE USED TO TREAT ACUTE CONDITIONS OR THAT ARE USED TO TREAT LIFE-THREATENING EVENTS. EVEN THOUGH THE HERO DEVICE IS CAPABLE OF SUCCESSFULLY AND ACCURATELY DISPENSING MOST WHOLE PILLS LOADED INTO THE DEVICE ON MOST OCCASIONS, HERO CANNOT GUARANTEE THE ACCURACY OF MEDICATION DISPENSED DURING EVERY DISPENSE CYCLE DUE TO THE POTENTIAL FOR HUMAN ERROR AND/OR MECHANICAL AND SOFTWARE LIMITATIONS OR FAILURES.

Description of Event or Problem

ON 06/25/20204 THE USER REPORTED AN AUTOMATIC DISPENSE FAILURE AND GETTING FEWER PILLS THAN PROGRAMMED. ADDITIONALLY THEY HAVE REPORTED THAT THE ISSUE HAS ALREADY LED TO A HOSPITAL VISIT IN THE PAST FOR UNKNOWN REASONS.

Remedial action

  • Replace