inforMED
MalfunctionINY

MULTICARE

Received Oct 25, 2016 · Event occurred Oct 4, 2016

Report 6054067 · MDR key 6054067

Device

Generic name

Bed, Patient Rotation, Manual

Manufacturer

Linet Americas

Model number

56011347B-02

Product problems

  • Device Displays Incorrect Message
  • Device Operates Differently Than Expected

Patient

62 YR

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

Narrative

Description of Event or Problem

THE PATIENT'S BED FROZE WHILE THE PATIENT WAS IN ROTATION MODE AT 15 DEGREES. THE PATIENT WAS A CRITICALLY ILL PATIENT IN ARDS THAT REQUIRED ROTATION FOR HER ILLNESS. WE TRIED EVERYTHING TO FIX THE BED SUCH AS TURNING IT OFF, UNPLUGGING IT, PUSHING EVERY BUTTON ETC. ERROR CODE 4 AND 13 APPEARED ON THE SCREEN. WE HAD TO MOVE THE PATIENT TO A NEW BED WITH HER AT 15 DEGREES. THIS NOT ONLY WAS POTENTIALLY DANGEROUS FOR THE PATIENT BUT IT COULD HAVE CAUSED HARM TO OUR STAFF.