BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1111948 · Received August 15, 2008

    Report

    Report Number
    1824206-2008-00367
    Event Type
    Malfunction
    Date Received
    August 15, 2008
    Date of Event
    February 21, 2006
    Report Date
    February 21, 2006
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE HEAD RIGHT SIDE RAIL WILL NOT LATCH, THE TECH CLEANED AND LUBED THE CENTER ARM ASSEMBLY. THE TECH RETRIEVED THE WRONG SERIAL NUMBER.

    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