BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1110523 · Received August 14, 2008

    Report

    Report Number
    1824206-2008-00167
    Event Type
    Malfunction
    Date Received
    August 14, 2008
    Date of Event
    May 31, 2005
    Report Date
    August 31, 2005
    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

    Additional Manufacturer Narrative · 1

    THE TECH CLEANED AND RE-LUBED THE CENTER ARM ASSEMBLY. THIS RESOLVED THE PROBLEM.

    Description of Event or Problem · 1

    ON 31-MAY-05 - ALLEGED THE RIGHT HEAD SIDE RAIL WOULD NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE AC POWERED HOSPITAL BED FNL HILL-ROM RITTER 3200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1