FDA Adverse Event Malfunction Summary report: N

PARKER BATH

MDR report key: 2960807 · Received February 11, 2013

Report

Report Number
9611530-2013-00014
Event Type
Malfunction
Date Received
February 11, 2013
Date of Event
January 18, 2013
Report Date
January 21, 2013
Manufacturer
ARJO HOSPITAL EQUIPMENT AB
Product Code
ILJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORT IS BEING SUBMITTED UNDER EXEMPTION (B)(4) BY THE MANUFACTURER ARJO HOSPITAL (B)(4) ON BEHALF OF THE IMPORTER (B)(4). ADDITIONAL INFORMATION WILL BE PROVIDED UPON COMPLETION OF THE MANUFACTURER'S INVESTIGATION.

Description of Event or Problem · 1

THE PARKER BATH IS A HEIGHT ADJUSTABLE BATH FOR ASSISTED BATHING. IT WAS REPORTED TO US THAT THE BATH WAS FILLED AND IN HIGHEST POSITION. THE "CARER" WANTED TO LOWER THE BATH BUT IT DIDN'T MOVE. ASSUMING MAYBE THE WEIGHT FROM THE WATER WAS CAUSING THE BLOCKAGE, THE CUSTOMER EMPTIED THE BATH. THIS DIDN'T HELP. HE COULD HEAR THE ACTUATOR WHEN TRYING TO ACTION HI-LO MOVEMENT BUT NOTHING ELSE HAPPENED. WHEN TRYING TO TILT THE BATH MANUALLY, THE TUB KIND OF FELL DOWN 20-30CM. AFTER THIS EVENT THE BATH FUNCTIONS NORMALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
60011 PARKER BATH BATH SYSTEMS ILJ ARJO HOSPITAL EQUIPMENT AB AL11110-EU

Patients

Seq Age Sex Outcome Treatment
1