FDA Adverse Event
Malfunction
Summary report: N
VERSACARE BED
MDR report key: 1062748
·
Received June 18, 2008
Report
- Report Number
- 1824206-2008-02649
- Event Type
- Malfunction
- Date Received
- June 18, 2008
- Date of Event
- June 2, 2008
- Report Date
- June 2, 2008
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Removal / Correction Number
- Z-0240-2008
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGED THE LEFT FOOT RAIL IS NOT LATCHING. SHE IS UNAWARE OF ANY INJURIES CAUSED BY THIS ALLEGED NON LATCHING FOOTRAIL. TSR FOUND THAT ONE OF THE RETAINING RINGS (PART NUMBER 3532501) THAT SECURE THE LONG ROD (PART NUMBER 69798) WAS MISSING FROM THE LEFT FOOT RAIL. HE INSTALLED A NEW RETAINING RINGS AND THE SIDERAIL FUNCTIONED AS DESIGNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VERSACARE BED | AC POWERED HOSPITAL BED | FNL | HILL-ROM RITTER | P3200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |