BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OVERBED TABLE

    MDR report key: 36431 · Received September 4, 1996

    Report

    Report Number
    MW4001460
    Event Type
    Malfunction
    Date Received
    September 4, 1996
    Report Date
    June 6, 1996
    Manufacturer
    HILL-ROM SERVICE CORP, INC.
    Product Code
    KMN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON THE CAM RAMP ASSEMBLY, THE ROLL PIN KEEPS FALLING OUT CAUSING THE SPRING, THE PROTECTIVE CAP, AND THE CENTER LATCH TO FALL OFF AND GET LOST. THIS PREVENTS THE TABLE FROM LOCKING INTO PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OVERBED TABLE OVERBED TABLE KMN HILL-ROM SERVICE CORP, INC. 631-C *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA