BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST

    MDR report key: 1120364 · Received August 14, 2008

    Report

    Report Number
    9615739-2008-00014
    Event Type
    Malfunction
    Date Received
    August 14, 2008
    Date of Event
    July 15, 2008
    Report Date
    July 15, 2008
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE HILL-ROM TECHNICIAN FOUND THAT THE GROUND PIN HAD BROKEN OFF OF THE POWER CORD ON THIS BED. HE REPLACED THE AC PLUG TO RESOLVE THE ISSUE. THERE WERE NO REPORTED ADVERSE EVENTS ASSOCIATED THIS PRODUCT FAILURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREASSIST AC POWERED HOSPITAL BED FNL HILL-ROM PLUVIGNER 1170 NA

    Patients

    Seq Age Sex Outcome Treatment
    1