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