BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1110926 · Received August 14, 2008

    Report

    Report Number
    1824206-2008-00179
    Event Type
    Malfunction
    Date Received
    August 14, 2008
    Date of Event
    November 22, 2005
    Report Date
    November 22, 2005
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTER CALLED AND ALLEGED THAT THE LEFT HEAD SIDERAIL WOULD NOT LATCH. I TOLD HIM THAT HE COULD CLEAN AND LUBRICATE THE RELEASE PINS, OR WE COULD HAVE A TECH COME AND DO IT FOR HIM. REPORTER CLEANED AND LUBRICATED SIDERAIL LATCH PINS TO RESOLVE ISSUE. SERIAL NUMBER NOT PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERSACARE AC POWERED HOSPITAL BED FNL HILL-ROM RITTER 086 NA

    Patients

    Seq Age Sex Outcome Treatment
    1