FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE BED

MDR report key: 3850829 · Received March 21, 2014

Report

Report Number
1824206-2014-00936
Event Type
Malfunction
Date Received
March 21, 2014
Date of Event
February 23, 2014
Report Date
February 23, 2014
Manufacturer
HILL-ROM, INC.
Product Code
INX
PMA / PMN Number
K964223
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE CASTER NOT HOLDING DUE TO THE RUBBER BRAKE PAD BEING WORN. PER THE HILL-ROM USER MANUAL, WARNING: PATIENTS MAY USE THE BED FOR SUPPORT WHILE ENTERING OR EXITING; IF THE UNIT MOVES UNEXPECTEDLY, PATIENT INJURY COULD OCCUR. WHEN THE UNIT IS UNATTENDED, ENSURE THAT BOTH BRAKES ARE LOCKED. THE BRAKES FOR THE CLINITRON BED ARE LOCATED AT THE RIGHT, HEAD END AND THE LEFT, FOOT END OF THE UNIT. TO APPLY THE BRAKES, STEP ON THE LOWER END OF THE BRAKE LEVER TO LOCK THE WHEELS. TO RELEASE THE BRAKES, APPLY INWARD PRESSURE TO THE UPPER END OF THE BRAKE LEVER. 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 THEIR BEDS. THE TECHNICIAN REPLACED THE CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM A HILL-ROM TECHNICIAN STATING BRAKE SET BUT DOES NOT HOLD. THE BED WAS LOCATED IN A HILL-ROM SERVICE CENTER AND NOT IN USE. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
169951 CLINITRON RITEHITE BED BED, AIR FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1