BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1052197 · Received May 21, 2008

    Report

    Report Number
    1824206-2008-02571
    Event Type
    Malfunction
    Date Received
    May 21, 2008
    Date of Event
    May 19, 2008
    Report Date
    May 19, 2008
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED HE WAS AT BED SIDE AND WAS RAISING RAILS, THE RIGHT HEAD WOULD NOT LATCH UNLESS IT WAS FORCEABLY SLAMMED TO THE UPRIGHT POSITION. TECH FOUND ALL SIDERAILS LATCHING PROPERLY. TECH INSTALLED MOD 380. OPERATION CHECK PASSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE AC POWERED HOSPITAL BED FNL HILL-ROM RITTER P3200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA