FDA Adverse Event Malfunction Summary report: N

CLINITRON RITEHITE BED

MDR report key: 3932199 · Received April 3, 2014

Report

Report Number
1824206-2014-01083
Event Type
Malfunction
Date Received
April 3, 2014
Date of Event
March 6, 2014
Report Date
March 6, 2014
Manufacturer
HILL-ROM, INC.
Product Code
INX
PMA / PMN Number
K964223
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH FOUND THE PT FOOT LEFT CASTER NOT HOLDING. THE TECH REPLACED THE LEFT FOOT BRAKE CASTER 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 HILL-ROM TECH STATING THE FOOT LEFT BRAKE CASTER WAS NOT HOLDING. THE BED WAS LOCATED AT THE ACCOUNT. 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
200261 CLINITRON RITEHITE BED BED, AIR FLUIDIZED INX HILL-ROM, INC. 0800

Patients

Seq Age Sex Outcome Treatment
1