FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE

MDR report key: 3896345 · Received May 20, 2014

Report

Report Number
1824206-2014-01566
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
April 24, 2014
Report Date
April 24, 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 TECHNICIAN FOUND DURING A BETWEEN PATIENT INSPECTION OF THE BED THAT THE BRAKES WOULD NOT LOCK AND THE BED STILL ROLLED WHEN THE BRAKE WAS SET. PER THE HILL-ROM USER MANUAL, WARNING: PATIENTS MAY USE THE BED FOR SUPPORT WHILE ENTERING OR EXITING; IF THE UNIT MOVES UNEXPECTEDLY, PATIENT INJURY COULD OCCUR. WHEN THE UNIT IS UNATTENDED, ENSURE THAT BOTH BRAKES ARE LOCKED. THE BRAKES FOR THE CLINITRON BED ARE LOCATED AT THE RIGHT, HEAD END AND THE LEFT, FOOT END OF THE UNIT. TO APPLY THE BRAKES, STEP ON HE LOWER END OF THE BRAKE LEVER TO LOCK THE WHEELS. TO RELEASE THE BRAKES, APPLY INWARD PRESSURE OT THE UPPER END OF THE BRAKE LEVER. THE TECHNICIAN REPLACED THE BRAKE CASTERS 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 THE BRAKES WERE NOT HOLDING. THE BED WAS LOCATED IN A HILL-ROM SERVICE CENTER AND NOT IN USE. THERE WAS NO PATIENT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS COMPLAINT #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
300706 CLINITRON RITEHITE BED, AIR FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1