FDA Adverse Event Malfunction Summary report: N

XL BARIATRIC BED

MDR report key: 3844813 · Received March 12, 2014

Report

Report Number
1824206-2014-00824
Event Type
Malfunction
Date Received
March 12, 2014
Date of Event
February 12, 2014
Report Date
February 12, 2014
Manufacturer
HILL-ROM, INC.
Product Code
IOQ
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND DURING A BETWEEN PATIENT INSPECTION THE BRAKE CASTERS WERE NOT HOLDING WHILE IN BRAKE MODE MOST LIKELY DUE TO NORM WEAR AND TEAR. THE TECHNICIAN REPLACED ALL BRAKE CASTERS TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THE BRAKES WERE NOT HOLDING. THE BED WAS LOCATED IN THE HILL-ROM SERVICE CENTER. 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
149254 XL BARIATRIC BED BARIATRIC BED IOQ HILL-ROM, INC. 610B

Patients

Seq Age Sex Outcome Treatment
1