FDA Adverse Event
Malfunction
Summary report: N
CAREASSIST BED
MDR report key: 3240868
·
Received July 17, 2013
Report
- Report Number
- 9615739-2013-00205
- Event Type
- Malfunction
- Date Received
- July 17, 2013
- Date of Event
- June 17, 2013
- Report Date
- June 19, 2013
- Manufacturer
- HILL-ROM PLUVIGNER
- Product Code
- FNL
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN INVESTIGATED AND FOUND THAT THE SCALE BED EXIT POD WAS NOT FUNCTIONING. THE TECHNICIAN REPLACED THE SCALE POD MEMBRANES ON BOTH SIDE RAILS TO RESOLVE THE ISSUE. THE ACCOUNT STATED THERE WAS NO INJURY FROM THE FALL. THE ACCOUNT DID A NURSE ASSESSMENT TO FOLLOW THEIR SAFETY PROCEDURE FOR FALLS.
Description of Event or Problem · 1
THE ACCOUNT ALLEGED THERE WAS A PT FALL AND THE PT POSITION MODULE WAS SET AND DID NOT ALARM. THE ACCOUNT DID NOT HAVE INFO ON THE EXTENT OF THE INJURY OR IF THERE WAS ANY INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 332793 | CAREASSIST BED | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM PLUVIGNER | 1170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Other |