FDA Adverse Event Malfunction Summary report: N

VERSACARE RENTAL BED

MDR report key: 3931550 · Received April 14, 2014

Report

Report Number
1824206-2014-01179
Event Type
Malfunction
Date Received
April 14, 2014
Date of Event
March 17, 2014
Report Date
March 17, 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

THE TECHNICIAN FOUND THE HEAD LEFT BRAKE CASTER WOULD NOT LOCK WHEN SET. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNK IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. THE TECHNICIAN CALIBRATED 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 PT/USER INJURY REPORTED. THIS REPORT WAS FILED IN OUR COMPLAINT HANDLING SYSTEM AS (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
226798 VERSACARE RENTAL BED AC POWERED ADJUSTALBE HOSPITAL BED FNL HILL-ROM INC. 3200

Patients

Seq Age Sex Outcome Treatment
1