FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE BED

MDR report key: 3896310 · Received May 20, 2014

Report

Report Number
1824206-2014-01551
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
April 23, 2014
Report Date
April 23, 2014
Manufacturer
HILL-ROM, INC.
Product Code
INX
PMA / PMN Number
K964223
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN DURING A BETWEEN PATIENT INSPECTION FOUND WORN BRAKE PADS PREVENTING THE BRAKE FROM HOLDING. THE TECHNICIAN REPLACED THE BRAKE CASTER TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM A HILL-ROM TECHNICIAN STATING THAT THE LEFT BRAKE CASTER WOULD NOT HOLD. THE BED WAS LOCATED IN A HILL-ROM SERVICE CENTER AND NOT IN USE. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
300717 CLINITRON RITEHITE BED BED, AIR, FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1