FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE

MDR report key: 3896781 · Received May 20, 2014

Report

Report Number
1824206-2014-01547
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
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE BRAKES WERE WORN. THIS BED IS A RENTAL UNIT AND IS SUBJECT TO BETWEEN PT INSPECTIONS WHICH INCLUDES THE PM ACTIVITIES. THE TECHNICIAN REPLACED THE BRAKE CASTERS TO RESOLVE THE ISSUE. BASED ON THIS INFO, 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 AT THE HILL-ROM SERVICE CENTER. THERE WAS NO PT/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
300014 CLINITRON RITEHITE BED, AIR FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1