FDA Adverse Event Malfunction Summary report: N

PROCEDURAL STRETCHER

MDR report key: 3952457 · Received May 14, 2014

Report

Report Number
3006697241-2014-00448
Event Type
Malfunction
Date Received
May 14, 2014
Date of Event
April 16, 2014
Report Date
April 16, 2014
Manufacturer
HILLROM DE MEXICO S DE RL DE CV
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TECHNICAL SUPPORT DETERMINED THE SIDE RAIL END TUBE WAS BROKEN. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED ANY PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNKNOWN IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON THEIR BEDS. TECHNICAL SUPPORT PROVIDED THE PART NUMBER OF THE SIDE RAIL END TUBE. THEY INSTRUCTED THE DISTRIBUTOR TO REPLACE THE END TUBE 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 DISTRIBUTOR STATING THE SIDE RAIL WOULD NOT LATCH. THE BED WAS LOCATED IN THE SHOP. THERE WAS NO PATIENT/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
288283 PROCEDURAL STRETCHER WHEELED STRETCHER FPO HILLROM DE MEXICO S DE RL DE CV 8000

Patients

Seq Age Sex Outcome Treatment
1