FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE BED

MDR report key: 3881782 · Received May 27, 2014

Report

Report Number
1824206-2014-01646
Event Type
Malfunction
Date Received
May 27, 2014
Date of Event
May 1, 2014
Report Date
May 1, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K964223
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE CAUSE WAS WORN BRAKE PAD DUE TO NORMAL WEAR AND TEAR. THE TECHNICIAN REPLACED THE BRAKE CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THAT DURING A BETWEEN PT INSPECTION THAT THE BRAKES WERE NOT HOLDING WHEN APPLIED. THE BED WAS LOCATED IN THE HILL-ROM SERVICE CENTER. THERE WAS NO PT/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
311561 CLINITRON RITEHITE BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 08000

Patients

Seq Age Sex Outcome Treatment
1