BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIONVILLE

    MDR report key: 1863409 · Received October 5, 2010

    Report

    Report Number
    1863409
    Event Type
    Malfunction
    Date Received
    October 5, 2010
    Date of Event
    September 27, 2010
    Report Date
    September 30, 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

    MEDICATION CART POWER SUPPLY BATTERY HARNESS CONNECTORS OVERHEAT AND FAIL.====================== MANUFACTURER RESPONSE FOR MEDICATION CART WITH COMPUTER AND UPS, LIONVILLE======================PROBLEM HAS OCCURRED ON SEVERAL MEDICATION CARTS. THE MANUFACTURER REPLACED BATTERIES AND POWER SUPPLIES ON SEVERAL.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 *