MAUDE Adverse Event Report: HILL-ROM INC REFURBISHED RITEHITE BED; BED, AIR FLUIDIZED

Model Number 0800

Device Problem Device Operates Differently Than Expected (2913)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 01/07/2014

Event Type  malfunction  

Event Description

The technician reported the foot left brake caster is not locking.No pt injury reported.

Manufacturer Narrative

The technician found the foot left brake caster had no brake pads.The technician replaced the foot left brake caster to resolve the issue.Based on this information, no further action is required.

• Brand Name: REFURBISHED RITEHITE BED
• Type of Device: BED, AIR FLUIDIZED
• Manufacturer (Section D): HILL-ROM INC; batesville IN
• Manufacturer Contact: jennifer morris ; 1069 state rt east; batesville, IN 47006 ; 8129313121
• MDR Report Key: 3819031
• MDR Text Key: 4404289
• Report Number: 1824206-2014-00281
• Device Sequence Number: 1
• Product Code: INX
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Company Representative
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/07/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Model Number: 0800
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 01/07/2014
• Initial Date FDA Received: 01/31/2014
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 07/01/2006
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1