FDA Adverse Event Malfunction Summary report: N

PROCEDURAL TRANSPORT STRETCHER

MDR report key: 3812562 · Received April 17, 2014

Report

Report Number
3006697241-2014-00361
Event Type
Malfunction
Date Received
April 17, 2014
Date of Event
March 20, 2014
Report Date
March 20, 2014
Manufacturer
HILLROM DE MEXICO S DE RL DE CV
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICAL SUPPORT REP PERFORMED TROUBLESHOOTING OVER THE PHONE WITH THE ACCOUNT, AND RECOMMENDED THE REPLACEMENT OF A BRAKE LINK. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON ITS BEDS. HILL-ROM TECHNICAL SUPPORT CONTACTED THE CUSTOMER TWO ADDITIONAL TIMES TRYING TO OBTAIN THE RESOLUTION FOR THIS ALLEGED ISSUE. NO RESPONSE HAS BEEN RECEIVED FROM THE ACCOUNT. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING THE BRAKES WERE NOT HOLDING. THE BED WAS LOCATED IN THE BED SHOP AT THE ACCOUNT. 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
236017 PROCEDURAL TRANSPORT STRETCHER WHEELED STRETCHER FPO HILLROM DE MEXICO S DE RL DE CV 8000

Patients

Seq Age Sex Outcome Treatment
1