BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAMTEC

    MDR report key: 2223041 · Received August 19, 2011

    Report

    Report Number
    MW5021842
    Event Type
    Malfunction
    Date Received
    August 19, 2011
    Date of Event
    August 4, 2011
    Report Date
    August 19, 2011
    Manufacturer
    CAMTEC
    Product Code
    OSI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MIDDLE SECTION OF DOLPHIN BARI BED WOULD NOT INFLATE. VENDOR SERVICED THE DEVICE BUT COULD NOT DETERMINE CAUSE OF ISSUE. NO INJURY TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAMTEC BARI BED OSI CAMTEC 3649S

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR