NaviCare Nurse Call SystemsRecalls & reported problems across all models
Hill-Rom, Inc. · 3 models in the FDA device registry
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 99
- Deaths reported
- 2
- Injuries reported
- 4
- Recalls
- 2
We found 3 models of NaviCare Nurse Call Systems by Hill-Rom, Inc. in the FDA's device registry (GUDID). Together they are named in 99 adverse event reports in the FDA's MAUDE database, received between Nov 30, 2017 and Nov 7, 2025 — classified as 2 deaths, 4 injuries, 93 malfunctions.
The most frequently reported specific device problem is “Device Alarm System” (81 reports).
2 FDA recall records name at least one of these models by its device identifier.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event. Widely used products collect more reports, so totals can't be used to compare products or estimate failure rates. Only reports that name a model's exact device identifier are counted. What reports can and can't tell you · How this data works
Reports received per month, all models
NaviCare Nurse Call Systems recalls
FDA recall records that name at least one of these models by its device identifier, newest first. Each recall usually covers specific models or lots, so check the details.
- Apr 13, 2022Class IITerminated
Firm discovered a firmware memory leak with a supplier-manufactured component.
Z-1093-2022 · Root cause: Software design · Recall details · FDA record ↗
- Oct 14, 2021Class IITerminated
An unrecoverable error may occur where a component will fail to complete the reboot cycle, become non-functional and must be replaced.
Z-0402-2022 · Root cause: Under Investigation by firm · names 3 of these models · Recall details · FDA record ↗
Most reported NaviCare Nurse Call Systems problems
Device problems
- Device Alarm System81
- No Audible Alarm12
- Computer Software Problem2
- Defective Alarm2
- Activation Problem1
- Delayed Alarm1
- False Alarm1
- Use of Device Problem1
Patient problems
- No Clinical Signs, Symptoms or Conditions90
- Fall5
- Bone Fracture(s)1
- Cardiac Arrest1
- Death1
- Hemorrhagic Stroke1
- Insufficient Information1
- No Information1
NaviCare Nurse Call Systems models
3 models, most reported first. Each model has its own page with its reports, recalls and device details.
- NaviCare® Nurse Call Systems 3.9System, communication, powered2 recalls2 deaths87 reports
- NaviCare® Nurse Call Systems 3.6System, communication, powered1 recall12 reports
- NaviCare® Nurse Call Systems 3.7System, communication, powered1 recall0 reports
Recent NaviCare Nurse Call Systems adverse event reports
The 15 most recent reports across all models, in the reporter's own words as published by the FDA.
MalfunctionNov 7, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE CALL WAS NOT ALERTING . THERE WAS NO PATIENT/USER INJURY REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23498684 ↗MalfunctionJun 30, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE BED EXIT OFF ALERT DID NOT ANNUNCIATE. . THERE WAS NO PATIENT/USER INJURY REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22367487 ↗InjuryJun 13, 2025Defective Alarm; Defective Alarm
IT WAS REPORTED A VOALTE NURSE CALL DID NOT ALARM AND A PATIENT FELL. THE PATIENT WAS FOUND ON THE FLOOR DUE TO AN UNWITNESSED FALL. THE PATIENT SUSTAINED AN ¿ACUTE HEMORRHAGE TO THE LEFT FRONTAL LOBE.¿ THE CUSTOMER REPORTED THAT THE PATIENT¿S INJURY ¿REMAINED STABLE,¿ ¿NO ACUTE NEUROSURGICAL INTERVENTION WAS INDICATED OR REQUIRED,¿ AND THE PATIENT WAS DISCHARGED TO A SKILLED NURSING FACILITY. THE BED¿S EXIT ALARM WAS ACTIVATED AND SIGNALING; HOWEVER, THE VOALTE NURSE CALL DID NOT TRIGGER. A REVIEW OF THE NURSE CALL LOGS SHOWS THAT THE ASSOCIATED BED WAS OFFLINE (NOT CONNECTED VIA COMMUNICATION CABLE) PRIOR TO AND LEADING UP TO THE REPORTED EVENT, INDICATING THAT THE COMMUNICATION CABLE THAT CONNECTS THE BED TO THE NURSE CALL SYSTEM WAS NOT CONNECTED AT THE TIME OF THE EVENT. ADDITIONALLY, THE LOG FILE SHOWED THAT OTHER FEATURES OF THE NURSE CALL SYSTEM (STAFF LOCATING) FUNCTIONED AS DESIGNED. FURTHERMORE, AN INSPECTION OF THE ASSOCIATED BED PERFORMED BY THE FACILITY NOTED THE BED TO BE WORKING AS INTENDED. THE CAUSE OF THE EVENT CAN BE ATTRIBUTED TO USE ERROR (FAILURE OF THE CAREGIVER TO CONNECT THE BED TO THE NURSE CALL SYSTEM AND NOT DUE TO A MALFUNCTION OF THE NURSE CALL SYSTEM
Patient problems: Fall; Hemorrhagic Stroke
MAUDE report 22202384 ↗MalfunctionJun 6, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE CALLS WERE NOT ANNUNCIATING AT THE SECONDARY SITE. THERE WAS NO PATIENT/USER INJURY REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22161234 ↗MalfunctionMay 20, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE BED DISCONNECT ALERT WAS NOT ALARMING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22053204 ↗MalfunctionApr 2, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE BED EXIT WAS ANNUNCIATING AS A NORMAL CALL. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21759177 ↗MalfunctionMar 24, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE BED EXIT CALL WAS SHOWING AS A NORMAL CALL. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21677036 ↗MalfunctionMar 14, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE BLUE WAS NOT ANNUNCIATING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21612105 ↗MalfunctionFeb 7, 2025Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE BLUE DID NOT ANNUNCIATE AT THE PBX. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21339750 ↗MalfunctionNov 25, 2024Device Alarm System; Device Alarm System
THE CUSTOMER REPORTED THAT THE BED EXIT ALARM DOES NOT SHOW ON THE NURSE CONSOLE AND ALSO THE DOME LIGHT OUTSIDE ROOM DOES NOT LIGHT UP YELLOW. THERE WAS NO ADVERSE EVENT REPORTED. THIS INCIDENT WAS CAPTURED UNDER COMPLAINT REF # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20770280 ↗MalfunctionNov 19, 2024Device Alarm System; Device Alarm System
THE CUSTOMER REPORTED THAT THEY PUSHED STAFF ASSIST AND PULLED CODE BLUE LEVER AND PBX NEVER GOT AN ALERT. THERE WAS NO PATIENT IMPACT OR SAFETY ISSUES REPORTED AS A RESULT OF PRODUCT PERFORMANCE. THIS INCIDENT WAS CAPTURED UNDER COMPLAINT REF # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20721948 ↗MalfunctionOct 18, 2024Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE DURESS CALL WAS NOT ANNUNCIATING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20488841 ↗MalfunctionOct 9, 2024Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE BLUE WAS NOT ANNUNCIATING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20410862 ↗MalfunctionSep 30, 2024Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE CALL WAS NOT ANNUNCIATING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20340659 ↗MalfunctionSep 17, 2024Device Alarm System; Device Alarm System
BAXTER RECEIVED A REPORT FROM A BAXTER TECHNICIAN STATING THE CODE CALL WAS NOT ANNUNCIATING. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT # (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20237987 ↗
Other Hill-Rom, Inc. products
- Centrella Bed2 models · 2,021 reports · 2 recalls
- VersaCare Med Surg Bed2 models · 1,200 reports
- pro+18 models · 36 reports · 13 recalls
- Voalte Nurse Call2 models · 419 reports · 2 recalls
- ALLEN24 models · 73 reports · 5 recalls
- WatchCare4 models · 0 reports · 4 recalls
- CompellaSurface3 models · 87 reports · 1 recall
- Progressa Surface13 models · 8 reports · 1 recall
Sources and updates
- Models: FDA GUDID, file dated Oct 13, 2026. Models are grouped by the brand name the manufacturer registered.
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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