BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST

    MDR report key: 1210024 · Received October 21, 2008

    Report

    Report Number
    9615739-2008-00040
    Event Type
    Malfunction
    Date Received
    October 21, 2008
    Date of Event
    September 24, 2008
    Report Date
    September 24, 2008
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE HILL-ROM TECHNICIAN DETERMINED THE CASTER NEEDED TO BE REPLACED. THE REPAIR HAS NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE LEFT HEAD CASTER WILL "JUMP" OUT OF BRAKE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK