BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARLO COMFORT GP CARRY BAR

    MDR report key: 3888659 · Received October 18, 2013

    Report

    Report Number
    3007802293-2014-00013
    Event Type
    Malfunction
    Date Received
    October 18, 2013
    Date of Event
    April 16, 2014
    Report Date
    May 28, 2014
    Manufacturer
    BEKA HOSPITEC GMBH
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    A CARRY BAR BROKE AT THE SWIVEL CONNECTION POINT JUST AFTER THE RESIDENT HAD BEEN TRANSFERRED TO HER BED. THERE WERE NO CONSEQUENCES TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    537493 CARLO COMFORT GP CARRY BAR GP CARRY BAR FSA BEKA HOSPITEC GMBH 278802

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR