FDA Adverse Event
Malfunction
Summary report: N
VERSACARE
MDR report key: 1052198
·
Received May 21, 2008
Report
- Report Number
- 1824206-2008-02572
- Event Type
- Malfunction
- Date Received
- May 21, 2008
- Date of Event
- May 2, 2008
- Report Date
- May 2, 2008
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
TSR FOUND THAT THE RIGHT HEAD SIDERAIL LATCH PINS (PART NUMBERS 140866 AND 140867) HAD STICKY SUBSTANCE ON THE LATCH PINS. HE CLEANED AND LUBRICATED THE LATCH PINS AND THE RIGHT HEAD SIDERAIL FUNCTIONED PROPERLY.
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 |