BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1110845 · Received August 14, 2008

    Report

    Report Number
    1824206-2008-00201
    Event Type
    Malfunction
    Date Received
    August 14, 2008
    Date of Event
    November 7, 2005
    Report Date
    April 4, 2008
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE HILL-ROM TECH FOUND THAT THE RIGHT HEAD SIDERAIL WOULD NOT LATCH. HE REPLACED THE HEAD RIGHT CENTER SIDERAIL ARM TO RESOLVE THE ISSUE.

    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