BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIONVILLE

    MDR report key: 1705128 · Received May 18, 2010

    Report

    Report Number
    1705128
    Event Type
    Malfunction
    Date Received
    May 18, 2010
    Date of Event
    April 19, 2010
    Report Date
    April 23, 2010
    Manufacturer
    INTERMETRO INDUSTRIES CORP.
    Product Code
    NXB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US

    Narratives

    Description of Event or Problem · 1

    UPS BATTERY CHARGING POWER SUPPLY NOT CONSISTENTLY CHARGING BATTERIES. FOUND CHARRED INTERMITTENT CONNECTOR IN WIRING HARNESS.====================== MANUFACTURER RESPONSE FOR MEDICATION CART, LIONVILLE======================MANUFACTURER HAS PROVIDED REPLACEMENT PARTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIONVILLE MEDICATION CART NXB INTERMETRO INDUSTRIES CORP. 800 *

    Patients

    Seq Age Sex Outcome Treatment
    1 *