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