FDA Adverse Event
Malfunction
Summary report: N
CARE ASSIST BED
MDR report key: 3170802
·
Received May 23, 2013
Report
- Report Number
- 9615739-2013-00144
- Event Type
- Malfunction
- Date Received
- May 23, 2013
- Date of Event
- April 25, 2013
- Report Date
- April 25, 2013
- 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 REPLACED THE BRAKE CASTER, THE BRAKE STEER PEDAL BAR AND THE BRAKE CASTER SUPPORTS TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
THE TECH ALLEGED THAT THE BRAKE CASTERS WILL SET BUT ARE NOT HOLDING. NO PT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 228835 | CARE ASSIST BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM PLUVIGNER | 1170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |