BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERSACARE

    MDR report key: 1171942 · Received September 19, 2008

    Report

    Report Number
    1824206-2008-03494
    Event Type
    Malfunction
    Date Received
    September 19, 2008
    Date of Event
    August 22, 2008
    Report Date
    August 22, 2008
    Manufacturer
    HILL-ROM RITTER
    Product Code
    FNL
    Removal / Correction Number
    Z-0240-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A HILL-ROM TECHNICAL SERVICE REP DISCOVERED WHILE PERFORMING PREVENTIVE MAINTENANCE, THAT THE SIDERAIL WOULD NOT LATCH. HE INSTALLED THE VERSACARE SIDERAIL INLINE SPRING KIT, AND THE SIDERAILS FUNCTIONED AS DESIGNED.

    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