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 |