TC BARIATRIC PLUS W/ AIR P1840RE200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2019-04-17 for TC BARIATRIC PLUS W/ AIR P1840RE200 manufactured by Hill-rom Batesville.

Event Text Entries

[142227726] The hill-rom technician found the left head end brake caster needed to be replaced. Per the hill-rom service manual, the totalcare? Bariatric bed and totalcare? Bariatric plus therapy system require an effective maintenance program. We recommend that you perform semi-annual preventive maintenance (pm). Pm will minimize downtime due to excessive wear. Inspect the casters for proper mounting, excessive wear, or tread damage. Replace as needed. Verify proper operation of the brake system. Adjust as necessary. A search of the hill-rom maintenance records showed hill-rom performed preventative maintenance on this bed in february 2019. It is unknown if the facility performed any other preventative maintenance on this bed. The technician replaced the left head end brake caster to resolve the issue. Based on this information, no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[142227727] Hill-rom received a report from the account stating the brakes were not holding. 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 Number1824206-2019-00155
MDR Report Key8523010
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2019-04-17
Date of Report2019-04-04
Date of Event2019-04-04
Date Mfgr Received2019-04-04
Device Manufacturer Date2006-10-16
Date Added to Maude2019-04-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactEMILY MITCHELL
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129310130
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTC BARIATRIC PLUS W/ AIR
Generic NameBARIATRIC BED
Product CodeOSI
Date Received2019-04-17
Model NumberP1840RE200
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM BATESVILLE
Manufacturer Address1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-17

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