FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 3973240 · Received June 6, 2014

Report

Report Number
9615739-2014-00229
Event Type
Malfunction
Date Received
June 6, 2014
Date of Event
May 9, 2014
Report Date
May 9, 2014
Manufacturer
HILL-ROM PLUVIGNER
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECH THOROUGHLY TESTED AND INSPECTED THE BED AND FOUND NO ISSUES. THE BED EXIT FUNCTIONED AS DESIGNED. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2010-2014. IT IS UNK IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. BASED ON THIS INFO, NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

HILL-ROM RECEIVED A REPORT FROM THE ACCOUNT STATING THAT THE BED EXIT WOULD NOT WORK. THE BED WAS LOCATED IN THE BASEMENT BED DOWN AREA AT THE ACCOUNT. 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
331421 CAREASSIST BED A/C POWERED ADJUSTABLE HOSPTIAL BED FNL HILL-ROM PLUVIGNER 1170

Patients

Seq Age Sex Outcome Treatment
1