inforMED
MalfunctionHMF

GREEN SERIES 777 INTEGRATED WALL SYSTEM

Received Oct 6, 2015 · Event occurred Sep 9, 2015

Report 1316463-2015-00043 · MDR key 5130045

Device

Generic name

Wall Transformer

Manufacturer

Welch Allyn

Model number

77710

Catalog number

77710-XXX

Product problems

  • Component Falling
  • Device Slipped
  • Device Operates Differently Than Expected
  • Device Dislodged or Dislocated

Patient

Not reported

  • No Patient Involvement
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE ACTUAL DEVICE WAS NOT RETURNED TO WELCH ALLYN FOR EVALUATION. PHOTOS OF THE DEVICE AND THE MOUNTING WERE PROVIDED BY THE CUSTOMER. ENGINEERING CONCLUDED THAT AN UPWARD FORCE PLACED ON THE WALL PANEL IS THE MOST LIKELY CAUSE FOR THE WALL TRANSFORMER BOARD FALLING OFF THE WALL. THE INVESTIGATION HAS DETERMINED THERE IS NO EVIDENCE OF A MANUFACTURING DEFECT. (B)(4).

Additional Manufacturer Narrative

WELCH ALLYN IS REPORTING THIS EVENT IN AN ABUNDANCE OF CAUTION. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem

WELCH ALLYN RECEIVED A REPORT FROM A HOSPITAL WITH THE ALLEGATION THAT A SURGEON WAS IN THE PROCESS OF RAISING THE BED IN A PATIENT ROOM THAT WAS NOT IN CLINICAL USE WHEN THE BED CAME IN CONTACT WITH THE INTEGRATED WALL PANEL. THE INTEGRATED WALL PANEL LIFTED OFF OF THE WALL MOUNTED RAIL BRACKET, ALLOWING THE PANEL TO DROP ONTO THE BED. THERE WAS NO PATIENT INVOLVED IN THE EVENT. THIS OCCURRED IN A PATIENT ROOM THAT WAS NEW AND NOT YET IN CLINICAL USE. NO ONE WAS HURT OR INJURED IN THE EVENT. THE PANEL CONTAINED AN ANEROID BLOOD PRESSURE GAUGE AND CUFF, WALL TRANSFORMER, SPECULA DISPENSER AND THERMOMETER, EACH MOUNTED TO THE PANEL. THE FALLEN PANEL SUSTAINED PHYSICAL DAMAGE TO THE CORNER OF THE PANEL AND THE WALL TRANSFORMER.