FDA Adverse Event Malfunction Summary report: N

OBGYN TRANSTAR

MDR report key: 2212139 · Received July 8, 2011

Report

Report Number
1824206-2011-03628
Event Type
Malfunction
Date Received
July 8, 2011
Date of Event
June 27, 2011
Report Date
June 27, 2011
Manufacturer
HILL-ROM, INC.
Product Code
FPO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TECHNICIAN FOUND THAT THE SIDERAIL WOULD NOT LATCH BECAUSE THE NUT WAS MISSING FROM THE BOLT. THE END TUBE WAS BENT AND MISSING THE SCREWS. REPLACED WITH NEW TUBE AND SCREW SET TO RESOLVE THIS ISSUE.

Description of Event or Problem · 1

COMPLAINT ALLEGED THAT THE SIDERAIL WAS NOT LATCHING. NO INJURY ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OBGYN TRANSTAR WHEELED STRETCHER FPO HILL-ROM, INC. P8050

Patients

Seq Age Sex Outcome Treatment
1