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 |