FDA Adverse Event Malfunction Summary report: N

REFURBISHED RITEHITE BED

MDR report key: 3844817 · Received March 12, 2014

Report

Report Number
1824206-2014-00828
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
INX
PMA / PMN Number
K964223
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND DURING A BETWEEN PATIENT INSPECTION THAT THE BRAKE CASTER WAS DAMAGED. THE TECHNICIAN DOES NOT KNOW HOW THE BRAKE CASTER BECAME DAMAGED BUT COULD BE DUE TO TRANSPORT OR NORMAL WEAR AND TEAR. THE TECHNICIAN REPLACED THE BRAKE CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THE BED MOVES WHEN THE BRAKE IS SET. THE BED WAS LOCATED IN THE HILL-ROM SERVICE CENTER. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
149369 REFURBISHED RITEHITE BED BED, AIR FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1