FDA Adverse Event Malfunction Summary report: N

CENTURY BED

MDR report key: 3810306 · Received April 10, 2014

Report

Report Number
1824206-2014-01133
Event Type
Malfunction
Date Received
April 10, 2014
Date of Event
March 12, 2014
Report Date
March 12, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH FOUND THE BRAKE CASTER AND BRAKE STEER CASTER WAS NOT HOLDING IN BRAKE WHEN THE BRAKE PEDAL WAS SET TO THE BRAKE POSITION. THE MOST LIKELY CAUSE IS NORMAL WEAR AND TEAR. 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 BED. THE TECH ADJUSTED THE BRAKE CASTER AND BRAKE STEER CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE BED IS NOT BRAKING PROPERLY. THE BED WAS LOCATED ON THE 1ST FLOOR AT THE FACILITY. THERE WAS NO PT/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
216330 CENTURY BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 837

Patients

Seq Age Sex Outcome Treatment
1