FDA Adverse Event Malfunction Summary report: N

CAREASSIST ES120/220/420

MDR report key: 7214672 · Received January 24, 2018

Report

Report Number
3006697241-2018-00005
Event Type
Malfunction
Date Received
January 24, 2018
Date of Event
January 11, 2018
Report Date
January 11, 2018
Manufacturer
HILL-ROM MEXICO
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THE HILL-ROM TECHNICIAN FOUND THE RIGHT CAREGIVER CONTROL BOARD NEEDED TO BE REPLACED. PER THE HILL-ROM SERVICE MANUAL THE BED SHOULD BE SUBJECT TO AN EFFECTIVE MAINTENANCE PROGRAM. AN ANNUAL SERVICE OF THE BED IS ADVISED IN ORDER TO MAINTAIN ITS CHARACTERISTICS AND PERFORMANCE. INSPECT THE CABLE ROUTING FOR PINCHING, BINDING, AND DAMAGE. MAKE SURE ALL FUNCTIONS ON THE CAREGIVER CONTROL OPERATE CORRECTLY. 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. THE TECHNICIAN REPLACED THE RIGHT CAREGIVER CONTROL BOARD 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 HILL-ROM TECHNICIAN STATING THE HILOW GOES UP BY ITSELF. THE BED WAS LOCATED AT THE ACCOUNT. THERE WAS NO PATIENT/USER INJURY REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
58135 CAREASSIST ES120/220/420 A/C POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM MEXICO P1170G0000293

Patients

Seq Age Sex Outcome Treatment
1