FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 3823681 · Received March 3, 2014

Report

Report Number
9615739-2014-00087
Event Type
Malfunction
Date Received
March 3, 2014
Date of Event
February 3, 2014
Report Date
February 3, 2014
Manufacturer
HILL-ROM PLUVIGNER
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE BRAKE CASTERS HAD CRACKED STEMS. AN INVESTIGATION WAS PERFORMED AND THIS ISSUE WAS ADDRESSED UNDER AN ENGINEERING CHANGE. THE TECHNICIAN REPLACED THE BRAKE CASTERS ON THE LEFT SIDE OF THE BED TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THE BRAKES SET BUT ARE NOT HOLDING ON THE LEFT SIDE OF THE BED. 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
127472 CAREASSIST BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM PLUVIGNER 1170

Patients

Seq Age Sex Outcome Treatment
1