CARE ASSIST GENERIC P1170B

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-21 for CARE ASSIST GENERIC P1170B manufactured by Hill-rom France.

Event Text Entries

[23922506] Hill-rom technical support has paged a field technician to repair the bed. 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. Head section motor: inspect the actuator assembly. Make sure the pins and retaining clips are intact and not missing. Fully raise and lower the head section. Make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. Repair as necessary. It is unknown if the facility performs preventative maintenance on their beds. No further information is available on the repair of the bed at this time. The investigation is ongoing, however if any additional relevant information is identified following completion of the investigation, the additional relevant information will be submitted in a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


[23922507] Hill-rom received a report from the account stating the head section would self-run when the bed is plugged in. The bed was located at the account. There was no patient/user injury reported. This report was filed in our complaint handling system as complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9615739-2015-00251
MDR Report Key5020753
Date Received2015-08-21
Date of Report2015-07-30
Date of Event2015-07-30
Date Mfgr Received2015-07-30
Date Added to Maude2015-08-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactTONY WERNER
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129312359
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCARE ASSIST GENERIC
Generic NameA/C POWERED ADJUSTABLE HOSPITAL BED
Product CodeFNK
Date Received2015-08-21
Model NumberP1170B
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM FRANCE
Manufacturer Address188 RUE DU CADUCEE-PARC , EUROMEDECINE MONTPELLIER, HERAULT 34195 FR 34195


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-21

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