FDA Adverse Event
Malfunction
Summary report: N
ADVANCE
MDR report key: 3893540
·
Received February 14, 2014
Report
- Report Number
- 1824206-2014-00438
- Event Type
- Malfunction
- Date Received
- February 14, 2014
- Date of Event
- January 16, 2014
- Report Date
- January 16, 2014
- Manufacturer
- HILL-ROM, INC.
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
HILL-ROM SERVICE TECHNICIAN INSPECTED THE BED AND FOUND THAT BOTH BRAKE AND STEER CASTERS WERE NOT WORKING PROPERLY. HE REPLACED THE BRAKE AND STEER CASTERS AND THE BED FUNCTIONED AS EXPECTED. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWS THAT THE LAST PREVENTIVE MAINTENANCE PERFORMED BY HILL-ROM WAS JANUARY 2012. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS.
Description of Event or Problem · 1
HILL-ROM RECEIVED A REPORT FROM A USER FACILITY STATING, "BRAKES NOT WORKING PROPERLY, BED STILL ROLLS WHEN BRAKE IS SET. THERE WAS NO PATIENT/INJURY REPORTED. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 99297 | ADVANCE | A/C POWERED ADJUSTABLE HOSPITAL BED | FNL | HILL-ROM, INC. | P1165 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |