BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1122943 · Received August 20, 2008

    Report

    Report Number
    1824206-2008-00718
    Event Type
    Malfunction
    Date Received
    August 20, 2008
    Date of Event
    September 12, 2006
    Report Date
    September 12, 2006
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SIDERAIL ON THE PATIENT RIGHT HEAD SIDE DID NOT LATCH PROPERLY. THE SPRING THAT IS MOUNTED BETWEEN THE PINS THAT LOCK THE SIDERAIL, WHEN IT IS IN THE UP POSITION WAS BENT AND NOT FORCING THE LOCKING PINS OUTWARD. A HILL-ROM TECHNICIAN REPLACED THE SPRING WITH LEFTOVER MOD KITS.

    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