FDA Adverse Event Malfunction Summary report: N

CAREASSIST BED

MDR report key: 4230331 · Received October 22, 2014

Report

Report Number
9615739-2014-00407
Event Type
Malfunction
Date Received
October 22, 2014
Date of Event
September 25, 2014
Report Date
September 25, 2014
Manufacturer
HILL-ROM
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE TECHNICIAN FOUND THE FOOT END CASTERS WERE NOT WORKING. A SEARCH OF THE HILL-ROM MAINTENANCE RECORDS DID NOT SHOW HILL-ROM PERFORMED PREVENTATIVE MAINTENANCE ON THIS BED. IT IS UNK IF THE FACILITY PERFORMS PREVENTATIVE MAINTENANCE ON ITS BEDS. THE TECH REPLACED THE FOOT END CASTERS 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 THE ACCOUNT STATING THE FOOT BRAKES WERE NOT HOLDING. THE BED WAS LOCATED ON 4 WEST ROOM. 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
670703 CAREASSIST BED A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM 1170

Patients

Seq Age Sex Outcome Treatment
1