FDA Adverse Event
Malfunction
Summary report: N
CAREASSIST BED
MDR report key: 2860062
·
Received October 31, 2012
Report
- Report Number
- 9615739-2012-00390
- Event Type
- Malfunction
- Date Received
- October 31, 2012
- Date of Event
- October 11, 2012
- Report Date
- October 11, 2012
- Manufacturer
- HILL-ROM PLUVIGNER
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE TECH REPLACED THE HEAD END BRAKE CASTERS TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
THE TECHNICIAN ALLEGED THAT THE BRAKES SET AT THE HEAD END OF THE BED BUT ARE NOT HOLDING. NO PT IMPACT.
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 |