FDA Adverse Event
Malfunction
Summary report: N
CAREASSIST BED
MDR report key: 2130207
·
Received May 9, 2011
Report
- Report Number
- 9615739-2011-00116
- Event Type
- Malfunction
- Date Received
- May 9, 2011
- Date of Event
- April 18, 2011
- Report Date
- April 18, 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 TECH FOUND THE FOOT END BRAKE AND STEER CASTERS WERE DAMAGED AND THE CASTER SUPPORTS WERE BROKEN. HE REPLACED THE FOOT END BRAKE AND STEER CASTERS AND SUPPORTS TO REPAIR THE BED.
Description of Event or Problem · 1
INFO 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 |