BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1110565 · Received August 14, 2008

    Report

    Report Number
    1824206-2008-00175
    Event Type
    Malfunction
    Date Received
    August 14, 2008
    Date of Event
    January 13, 2006
    Report Date
    January 13, 2006
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTER STATES THE RH FOOT SIDERAIL WILL NOT STAY IN THE UP POSITION. SHE REQUESTS A TSR TO REPAIR. TSR LUBED AND CLEANED THE PINS IN TEH CENTER ARM ASSY, TO RESOLVE THE PROBLEM WITH THE RH FOOT SIDERAIL NOT LATCHING.

    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