FDA Adverse Event Malfunction Summary report: N

TOTAL CARE BED

MDR report key: 3932200 · Received April 3, 2014

Report

Report Number
1824206-2014-01082
Event Type
Malfunction
Date Received
April 3, 2014
Date of Event
March 7, 2014
Report Date
March 7, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
PMA / PMN Number
K122473
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH FOUND THE BRAKE CASTERS WERE WORN DUE TO NORMAL WEAR AND TEAR. 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 TECH ZEROED THE SCALE TO RESOLVE THE ISSUE. THE TECH 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 THE ACCOUNT STATING THE BRAKES WERE NOT HOLDING AT THE FOOT END OF THE BED. THE BED WAS LOCATED IN THE BED SHOP AT THE ACCOUNT. 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
200615 TOTAL CARE BED A/C POWERED ADJUSTABLE HOSP BED FNL HILL-ROM, INC. 1900

Patients

Seq Age Sex Outcome Treatment
1