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MDA/2008/008 - Hospital beds. Hill-Rom Avantguard 1200 and 1400 with manually operated lock-out function

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Document details:

Type: Medical Device Alert
Series No: MDA/2008/008
Audience: Healthcare professionals
Published:
Format: Electronic and paper
Size: A4
Pages: 4
Price: Free
ISBN/ISSN:
Author:
Copyright: Crown
   

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Page 1

Issued: 21 February 2008 at 14:30
Ref: MDA/2008/008
 
Immediate action
Tick mark
Action
 
Update
 
Information request


Device:
Hospital beds. Hill-Rom Avantguard 1200 and 1400 with manually operated lock-out function.

 > Page 2

Problem:
Lack of use of the manual lock-out function has lead to fatalities from crush injuries.

 > Page 2

Action by:
All those using, managing and maintaining hospital beds, in particular: nurses, bed managers, maintenance staff and contractors.		  
Action:
  • Trace all Hill-Rom Avantguard 1200 and 1400 hospital beds with the manually operated lock-out function. Serial numbers HRP000070411 to HRP000131071 inclusive.
  • Ensure the height controls for those beds are manually locked out following every bed height adjustment before the patient is left unattended.
  • Contact Hill-Rom on 01530 562 167 to arrange for the foot pedal height controls on both sides of the bed to be permanently removed.
  

Distributed to:

NHS trusts in England - Chief Executives*
Commission for Social Care Inspection (CSCI) - Headquarters
Healthcare Commission (CHAI) - Headquarters
Primary care trusts in England - Chief Executives*
Social services in England - Directors*

* via CE Bulletin

 > Page 2

Contacts:
Details of manufacturer contacts and MHRA contacts for technical and clinical aspects.
Change of address or removal from address list for CSCI and Healthcare Commission.

 > Page 3



Action deadlines for the Safety Alert Broadcast System (SABS)
Deadline (action underway): 20 March 2008
Deadline (action complete): 20 May 2008


 

Page last modified: 21 February 2008