FDA Adverse Event Malfunction Summary report: N

ADVANCE BED

MDR report key: 3810231 · Received February 5, 2014

Report

Report Number
1824206-2014-00322
Event Type
Malfunction
Date Received
February 5, 2014
Date of Event
January 9, 2014
Report Date
January 9, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECH FOUND THE HEAD END BRAKE CASTER IS OUT OF ADJUSTMENT. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNK IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THE TECH ADJUSTED THE HEAD END BRAKE CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNTS TECH REPORTED THE BRAKES ARE NOT FUNCTIONING. THE BED IS LOCATED IN THE ACCOUNTS BED SHOP. 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
75875 ADVANCE BED A/C POWERED ADJUSTABLE HOSP BED FNL HILL-ROM, INC. 1130

Patients

Seq Age Sex Outcome Treatment
1