BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PARKER BATH

    MDR report key: 2862303 · Received November 29, 2012

    Report

    Report Number
    9611530-2012-00211
    Event Type
    Malfunction
    Date Received
    November 29, 2012
    Date of Event
    November 8, 2012
    Report Date
    November 8, 2012
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    ILJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH, INC. ON BEHALF OF THE MFR ARJO (B)(4). ADD'L INFO WILL BE PROVIDED UPON CONCLUSION OF THE MFR'S INVESTIGATION.

    Description of Event or Problem · 1

    PARKER TUB DOOR NOT STAYING IN UP POSITION. NO TEMPERATURE DISPLAY. AN ARJOHUNTLEIGH TECHNICIAN REPLACED DOOR STRUT AND REPLACED BATTERIES FOR TEMPERATURE DISPLAY. CHECKED WATER TEMPERATURE, OK. TIGHTENED DOOR HANDLE. RAN FULL FUNCTION TEST. OK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PARKER BATH BATH SYSTEMS ILJ ARJO HOSPITAL EQUIPMENT AB 420.00.01.01

    Patients

    Seq Age Sex Outcome Treatment
    1