ART OF CARE RECLINER P9080B0000965-2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-09 for ART OF CARE RECLINER P9080B0000965-2 manufactured by Hill-rom Batesville.

Event Text Entries

[144699324] The hill-rom technician found the casters needed to be replaced. Per the hill-rom service manual recommends semi-annual function and cosmetic checks to make sure the product remains in good working order. The function check should include inspecting assembly fasteners and tightening as needed. If the recliner has a gas spring, check for proper function and adjust as needed. A search of the hill-rom maintenance records did not show hill-rom performed any preventative maintenance on this unit. It is unknown if the facility performs preventative maintenance on their units. The technician replaced the casters to resolve the issue. Based on this information, no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[144699325] Hill-rom received a report from a hill-rom service technician stating the brakes were not holding. The unit was located at the account. There was no patient/user injury reported. This report was filed in our complaint handling system as (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1824206-2019-00193
MDR Report Key8595500
Date Received2019-05-09
Date of Report2019-04-26
Date of Event2019-04-26
Date Mfgr Received2019-04-26
Device Manufacturer Date2008-06-23
Date Added to Maude2019-05-09
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 Report0

Device Details

Brand NameART OF CARE RECLINER
Generic NameCHAIR AND TABLE, MEDICAL
Product CodeKMN
Date Received2019-05-09
Model NumberP9080B0000965-2
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 2019-05-09

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