FDA Adverse Event
Malfunction
Summary report: N
CARE ASSIST
MDR report key: 2053655
·
Received March 17, 2011
Report
- Report Number
- 9615739-2011-00068
- Event Type
- Malfunction
- Date Received
- March 17, 2011
- Date of Event
- February 28, 2011
- Report Date
- February 28, 2011
- Manufacturer
- HILL-ROM PLUVIGNER
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TECHNICIAN FOUND THE BED IN REPAIR SHOP. FOUND THAT THE BRAKES WERE NOT WORKING - BRAKES WOULD SET BUT NOT HOLD. REPLACED CASTER BRAKES TO RESOLVE THIS ISSUE.
Description of Event or Problem · 1
COMPLAINT ALLEGED THAT THE BRAKES WERE NOT WORKING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CARE ASSIST | AC POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM PLUVIGNER | P1170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |