FDA Adverse Event Malfunction Summary report: N

CARE ASSIST BED

MDR report key: 3891639 · Received February 4, 2014

Report

Report Number
9615739-2014-00028
Event Type
Malfunction
Date Received
February 4, 2014
Date of Event
January 8, 2014
Report Date
January 8, 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 CASTER SWIVEL LOCKS WERE THE CAUSE. PER THE HILL-ROM SERVICE MANUAL THE BED SHOULD BE SUBJECT TO AN EFFECTIVE MAINTENANCE PROGRAM. AN ANNUAL SERVICE OF THE BED IS ADVISED IN ORDER TO MAINTAIN ITS CHARACTERISTICS AND PERFORMANCE. BRAKE CASTERS SHOULD BE CHECKED FOR CUTS, WEAR AND QUALITY OF TREAD, ETC. AND REPLACED WHEN NECESSARY. CHECK THE BRAKES TO SEE WHETHER THE BED MOVES WHEN THE BRAKE PEDALS ARE PRESSED AND REPAIR AS NECESSARY. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THE TECHNICIAN REPLACED THE BRAKE CASTERS, BRAKE STEER CASTERS AND SUPPORTS TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE ACCOUNT REPORTED THAT THE BRAKE CASTERS SWIVEL AROUND WHEN THE BRAKE IS SET. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73843 CARE ASSIST BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM PLUVIGNER 1170

Patients

Seq Age Sex Outcome Treatment
1