FDA Adverse Event Malfunction Summary report: N

RHAPSODY

MDR report key: 3030286 · Received March 28, 2013

Report

Report Number
9611530-2013-00029
Event Type
Malfunction
Date Received
March 28, 2013
Date of Event
March 4, 2013
Report Date
March 4, 2013
Manufacturer
ARJO HOSPITAL EQUIPMENT AB
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORT IS BEING SUBMITTED UNDER EXEMPTION (B)(4) BY THE MANUFACTURER ARJO (B)(4) ON BEHALF OF THE IMPORTER (B)(4). THE EVALUATION OF THE DEVICE TO DATE HAS BEEN CARRIED OUT BY A REPRESENTATIVE OF THE MANUFACTURER'S SALES AND SERVICE UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MANUFACTURER. ADDITIONAL INFORMATION WILL BE PROVIDED UPON COMPLETION OF THE MANUFACTURER'S INVESTIGATION.

Description of Event or Problem · 1

THE ISSUE OCCURRED WITH AN OLDER BATH SYSTEM, A RHAPSODY FOR ASSISTED BATHING AND AS REPORTED FROM THE CUSTOMER THE FLUSH WAS BAD BECAUSE OF LEGIONELLA. AS AN CORRECTIVE ACTION THE SHOWER HANDLE, SEALS AND HOSES HAS BEEN CHANGED BY AN ARJOHUNTLEIGH TECHNICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129680 RHAPSODY BATH SYSTEMS FSA ARJO HOSPITAL EQUIPMENT AB ARB21010-01

Patients

Seq Age Sex Outcome Treatment
1