BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1111999 · Received August 15, 2008

    Report

    Report Number
    1824206-2008-00374
    Event Type
    Malfunction
    Date Received
    August 15, 2008
    Date of Event
    June 29, 2006
    Report Date
    June 29, 2006
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE REPORTER HAS BED THAT THE LEFT FOOT SIDERAIL WILL NOT LATCH. HE SAID THAT HE HAD OPENED THE RAIL AND THERE WAS A SCREW HEAD THAT HAD BROKEN OFF IN THE CENTER ARM. REPORTER SAID THAT HE REPLACED THE CENTER ARM TO RESOLVE THE ISSUE WITH THIS BED.

    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