FDA Adverse Event
Malfunction
Summary report: N
CARE ASSIST BED
MDR report key: 3210061
·
Received June 27, 2013
Report
- Report Number
- 9615739-2013-00182
- Event Type
- Malfunction
- Date Received
- June 27, 2013
- Date of Event
- May 29, 2013
- Report Date
- May 29, 2013
- Manufacturer
- HILL-ROM PLUVIGNER
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ACCOUNT STATED THAT THE BRAKE CASTER ISSUE HAD BEEN RESOLVED BY ANOTHER COMPANY AND THEY ARE UNSURE WHAT REPAIR WAS MADE TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
THE ACCOUNT ALLEGED THE BRAKE PEDAL WOULD SET BUT THE BRAKE WOULD NOT HOLD ON BRAKE STEER CASTER. NO INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 293083 | CARE ASSIST BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM PLUVIGNER | 1170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |