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 |