FDA Adverse Event
Malfunction
Summary report: N
VERSACARE
MDR report key: 1191365
·
Received September 26, 2008
Report
- Report Number
- 1824206-2008-03609
- Event Type
- Malfunction
- Date Received
- September 26, 2008
- Date of Event
- September 18, 2008
- Report Date
- September 18, 2008
- Manufacturer
- HILL-ROM RITTER
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGED THAT THE POWER CORD IS CUT AND THE BARE METAL GROUND WIRE IS EXPOSED. THEY STATED THAT THERE WERE NO INJURIES AND A PATIENT WAS NOT IN THE BED. CUSTOMER STATED THEY REMOVED ABOUT A FOOT SECTION OF THE DAMAGED POWER CORD (TOWARD THE BOARD SIDE OF THE CORD) AND THEN PROPERLY RECONNECTED THE CORD TO RESOLVE THIS ISSUE. BED WAS RETURNED TO SERVICE.
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 |