BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 1952404 · Received January 3, 2011

    Report

    Report Number
    9615739-2011-00002
    Event Type
    Malfunction
    Date Received
    January 3, 2011
    Date of Event
    December 13, 2010
    Report Date
    December 13, 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

    TECHNICIAN FOUND ONE OF THE BRAKE CASTERS AND THE STEERING CASTER WERE DAMAGED. TECHNICIAN ALSO FOUND FOUR OF THE BRAKE CASTER SUPPORTS WERE BROKEN. THE TECHNICIAN REPLACED THE BRAKE CASTERS AND THE SUPPORTS AND THE BRAKES ARE WORKING FINE NOW.

    Description of Event or Problem · 1

    TECHNICIAN ALLEGED THAT THE BRAKES WERE NOT HOLDING. NO ONE WAS HURT OR INJURED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1