BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 2051490 · Received April 4, 2011

    Report

    Report Number
    9615739-2011-00082
    Event Type
    Malfunction
    Date Received
    April 4, 2011
    Date of Event
    March 9, 2011
    Report Date
    March 9, 2011
    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

    NO INFO IS AVAILABLE ON THE REPAIR OF THE BED AT THIS TIME. DUE TO NO INJURY A FIELD INVESTIGATION WILL NOT BE COMPLETED.

    Description of Event or Problem · 1

    ACCOUNT ALLEGED THAT THE PT WAS TRYING TO TRANSFER FROM THE BED TO A CHAIR AND FELL. THE ACCOUNT ALLEGES THAT THE BED SLIPPED. NO INJURY REPORTED.

    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