FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 3883225 · Received February 20, 2014

Report

Report Number
9615739-2014-00067
Event Type
Malfunction
Date Received
February 20, 2014
Date of Event
January 23, 2014
Report Date
January 23, 2014
Manufacturer
HILL-ROM PLUVIGNER
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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 BRAKE CASTERS, BRAKE STEER CASTERS AND SUPPORTS TO RESOLVE THE ISSUE. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCCOUNT REPORTED THAT THE BRAKE CASTERS WILL SET BUT THEY WILL NOT HOLD. THE BED IS LOCATED IN STORAGE AT THE FACILITY. THERE WAS NO PT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
108413 CAREASSIST BED A/C POWERED ADJUSTABLE HOSP BED FNL HILL-ROM PLUVIGNER 1170

Patients

Seq Age Sex Outcome Treatment
1