BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 1800664 · Received August 4, 2010

    Report

    Report Number
    9615739-2010-00189
    Event Type
    Malfunction
    Date Received
    August 4, 2010
    Date of Event
    July 12, 2010
    Report Date
    July 12, 2010
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH FOUND THE RIGHT FOOT CASTER BROKEN AT THE STEM AND THE BRAKE ROD LOCATED ON THE HEAD CASTERS BACKED OUT FROM THE BRAKE BAR AND THE PLASTIC BUSHING WAS BROKEN. REPAIRS HAVE NOT BEEN COMPLETED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE BRAKES WERE NOT HOLDING ON THIS BED AND A PT FELL, HOWEVER, NO INJURIES WERE REPORTED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK