FDA Adverse Event
Malfunction
Summary report: N
CAREASSIST BED
MDR report key: 3881452
·
Received February 18, 2014
Report
- Report Number
- 9615739-2014-00059
- Event Type
- Malfunction
- Date Received
- February 18, 2014
- Date of Event
- January 21, 2014
- Report Date
- January 21, 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 DAMAGED STEMS WHICH ALSO DAMAGED THE CASTER SUPPORTS. AN INVESTIGATION WAS PERFORMED AND THIS ISSUE WAS ADDRESSED UNDER AN ENGINEERING CHANGE. THE TECHNICIAN REPLACED THE FOOT END BRAKE CASTERS AND SUPPORTS TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.
Description of Event or Problem · 1
THE TECHNICIAN REPORTED THE BRAKES WILL SET ON THE FOOT END OF THE BED BUT ARE NOT HOLDING. THE BED IS LOCATED IN THE BASEMENT OF THE FACILITY. THERE WAS NO PT/USER INJURY REPORTED. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 101257 | CAREASSIST BED | AC POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM PLUVIGNER | 1170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |