FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 2072616 · Received April 25, 2011

Report

Report Number
9615739-2011-00102
Event Type
Malfunction
Date Received
April 25, 2011
Date of Event
March 30, 2011
Report Date
March 30, 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

THE TECHNICIAN FOUND THE BRAKE CASTERS WERE WORN AND THE CASTER'S SUPPORTS WERE BROKEN. HE REPLACED THE CASTERS AND THE CASTER SUPPORTS TO REPAIR THE BED.

Description of Event or Problem · 1

INFORMATION RECEIVED INDICATES THE BRAKE IS NOT HOLDING.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1