BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREASSIST BED

    MDR report key: 2112473 · Received April 28, 2011

    Report

    Report Number
    9615739-2011-00107
    Event Type
    Malfunction
    Date Received
    April 28, 2011
    Date of Event
    April 5, 2011
    Report Date
    April 5, 2011
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE HEAD DRIVE WAS DAMAGED BY A STUCK HEAD UP BUTTON IN THE LEFT SIDERAIL. HE REPLACED THE HEAD DRIVE MOTOR AND THE CAREGIVER CONTROLS ON THE LEFT SIDERAIL TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED THE HEAD SECTION IS FULLY RAISED AND WILL NOT LOWER ELECTRICALLY OR BY ACTIVATING THE CPR.

    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