FDA Adverse Event
Malfunction
Summary report: N
FREEDOM1000
MDR report key: 13892885
·
Received March 24, 2022
Report
- Report Number
- 3009591865-2022-00005
- Event Type
- Malfunction
- Date Received
- March 24, 2022
- Date of Event
- February 22, 2022
- Report Date
- April 25, 2022
- Manufacturer
- UMANO MEDICAL INC.
- Product Code
- FNL
- UDI-DI
- 00670482000487
- Removal / Correction Number
- RES#90058
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
A RECALL HAS BEEN INITIATED ON THE 11TH OF APRIL 2022 BY UMANO MEDICAL INC RELATED TO THIS PROBLEM. THE MOTORIZED WHEEL SOFTWARE WILL BE MODIFIED TO ADD MONITORING CONDITIONS TO CONTINUOUSLY MONITOR THE MOTOR STATUS INCLUDING WHEN IT SHOULD NOT BE RUNNING. THIS RECALL NUMBER RES#: 90058 IS STILL IN PROGRESS.
Description of Event or Problem · 0
DISTRIBUTER CONTACTED TECHNICAL SERVICE OF THE MANUFACTURER TO REPORT AN ISSUE WITH THE MOTORIZED WHEEL SYSTEM OF A HOSPITAL BED THAT WAS BEING USED BY ONE OF HIS CUSTOMERS DURING A TRIAL SESSION (THE BED WAS NOT IN USE WITH A PATIENT) HE MENTIONED THAT WHEN THEY RELEASED THE TRIGGER TO STOP THE WHEEL MOVEMENT, THE BED CONTINUED TO MOVE FORWARD AND WAS STOPPED AGAINST THE WALL. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 703943 | FREEDOM1000 | HOSPITAL BED | FNL | UMANO MEDICAL INC. | FM1000 | 00670482000487 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |