FDA Adverse Event Malfunction Summary report: N

GPS STRETCHER

MDR report key: 3810203 · Received February 5, 2014

Report

Report Number
3006697241-2014-00109
Event Type
Malfunction
Date Received
February 5, 2014
Date of Event
January 9, 2014
Report Date
January 9, 2014
Manufacturer
HILLROM DE MEXICO S DE RL DE CV
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE BRAKE CASTER SWIVEL MECHANISMS ARE WORN. PER THE HILL-ROM SERVICE MANUAL ANNUAL PREVENTATIVE MAINTENANCE MUST BE PERFORMED TO INSURE ALL BED FEATURES ARE FUNCTIONING AS ORIGINALLY DESIGNED. PARTICULAR ATTENTION MUST BE ADDRESSED ON SAFETY FEATURES INCLUDING BUT NOT LIMITED TO: CASTER BRAKING SYSTEMS. A SEARCH OF HILL-ROM MAINTENANCE RECORDS DID SHOW THAT PREVENTATIVE MAINTENANCE HAS BEEN PERFORMED ANNUALLY. THE TECHNICIAN REPLACED ALL BRAKE CASTERS TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THAT WHILE PERFORMING PREVENTATIVE MAINTENANCE ON THE STRETCHER HE FOUND THAT ALL BRAKE CASTERS SWIVEL WHILE IN BRAKE MODE. THE TECHNICIAN FOUND THE STRETCHER IN THE ER HALLWAY. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75978 GPS STRETCHER WHEELED STRETCHER FPO HILLROM DE MEXICO S DE RL DE CV 881

Patients

Seq Age Sex Outcome Treatment
1