BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 1882960 · Received October 22, 2010

    Report

    Report Number
    9615739-2010-00239
    Event Type
    Malfunction
    Date Received
    October 22, 2010
    Date of Event
    September 28, 2010
    Report Date
    September 28, 2010
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND ALL FOUR CASTERS HAD BROKEN BRAKE STEMS. THE TECHNICIAN INDICATED THE CASTERS WERE ENGAGED TOO HARD PAST THE POINT OF LOCKING. THE TECHNICIAN REPLACED ALL FOUR CASTERS TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFO REC'D INDICATES THE BRAKE WILL NOT HOLD.

    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