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 |