FDA Adverse Event
Malfunction
Summary report: N
VERSACARE
MDR report key: 1110604
·
Received August 14, 2008
Report
- Report Number
- 1824206-2008-00166
- Event Type
- Malfunction
- Date Received
- August 14, 2008
- Date of Event
- June 15, 2005
- Report Date
- June 15, 2005
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Removal / Correction Number
- Z-0240-2008
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECH CLEANED THE CENTER ARM ASSEMBLY. THIS RESOLVED THE PROBLEM.
Description of Event or Problem · 1
THE HEAD RIGHT SIDE RAIL IS 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 |