BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARE ASSIST BED

    MDR report key: 3221312 · Received July 1, 2013

    Report

    Report Number
    9615739-2013-00184
    Event Type
    Malfunction
    Date Received
    July 1, 2013
    Date of Event
    June 4, 2013
    Report Date
    June 4, 2013
    Manufacturer
    HILL-ROM PLUVIGNER
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE BRAKE CASTER ALIGNMENT VOLT SCREW AND WASHER IS MISSING. THE TECHNICIAN REPLACED THE BRAKE CASTER, ALIGNMENT VOLT SCREW AND WASHER TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    THE TECHNICIAN ALLEGED THE BRAKES ARE NOT HOLDING. NO PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    297389 CARE ASSIST BED AC POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM PLUVIGNER 1170

    Patients

    Seq Age Sex Outcome Treatment
    1