FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 4213867 · Received October 6, 2014

Report

Report Number
3006697241-2014-00687
Event Type
Malfunction
Date Received
October 6, 2014
Date of Event
September 8, 2014
Report Date
September 8, 2014
Manufacturer
HILLROM DE MEXICO S DE RL DE CV
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE TECH FOUND THE SIDE RAIL PIVOT PIN WAS MISSING. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS SHOWED HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED IN 2013 AND 2014. IT IS UNK IF THE FACILITY PERFORMED ANY OTHER PREVENTATIVE MAINTENANCE ON THIS BED. THE TECH REPLACED THE SIDE RAIL PIVOT PIN 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 A HILL-ROM TECH STATING THE RIGHT FOOT SIDE RAIL WOULD NOT LATCH. THE BED WAS LOCATED IN THE ACA WAREHOUSE 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
625061 CAREASSIST BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILLROM DE MEXICO S DE RL DE CV 1170

Patients

Seq Age Sex Outcome Treatment
1