FDA Adverse Event Malfunction Summary report: N

BASSINET, EURO STYLE

MDR report key: 2382349 · Received November 16, 2011

Report

Report Number
1831750-2011-12087
Event Type
Malfunction
Date Received
November 16, 2011
Date of Event
October 18, 2011
Report Date
October 19, 2011
Manufacturer
IWC
Product Code
FMS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

RESULT: PLASTIC TUB.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE IS A CRACK IN THE CORNER OF THE BASSINET PLASTIC TUB AND SHARP EDGES WERE PRESENT. THERE WAS NO ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BASSINET, EURO STYLE MANUAL PATIENT TRANSFER DEVICE FMS IWC 4400424000 NA

Patients

Seq Age Sex Outcome Treatment
1