FDA Adverse Event Malfunction Summary report: N

VERSACARE P500 AIR RENTAL BED

MDR report key: 3932259 · Received April 4, 2014

Report

Report Number
1824206-2014-01098
Event Type
Malfunction
Date Received
April 4, 2014
Date of Event
March 7, 2014
Report Date
March 7, 2014
Manufacturer
HILL-ROM, INC.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SERVICE TECHNICIAN FOUND DURING A BETWEEN PATIENT INSPECTION THAT THE RIGHT FRONT BRAKE WAS OUT OF ADJUSTMENT WHICH WAS MOST LIKELY DUE TO NORMAL WEAR AND TEAR. THE SERVICE TECHNICIAN ADJUSTED THE RIGHT FRONT BRAKE TO RESOLVE THE ISSUE. BASED ON THIS INFORMATION, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

THE TECHNICIAN REPORTED THE BRAKES WILL NOT LOCK SECURELY WHEN THE BRAKES ARE SET. THE BED WAS LOCATED IN THE HILL-ROM SERVICE CENTER. THERE WAS NO PATIENT/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
205660 VERSACARE P500 AIR RENTAL BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3200

Patients

Seq Age Sex Outcome Treatment
1