BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JERON

    MDR report key: 4265381 · Received November 11, 2014

    Report

    Report Number
    MW5039104
    Event Type
    Malfunction
    Date Received
    November 11, 2014
    Date of Event
    October 15, 2014
    Report Date
    November 11, 2014
    Manufacturer
    JERON
    Product Code
    ILQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    CALL BELL RESPONSE SYSTEM WOULD NOT WORK. MAINTENANCE CAME AND REPAIRED. IT WENT OFFLINE AGAIN AND JERON DUAL STATION WAS INSTALLED INTERMITTENT CALL BELL RESPONSE. MAINTENANCE REPAIRED SYSTEM ONCE AND THEN STILL HAD TO RESPOND AND REPLACE ONE PORTION OF THE UNIT. THIS WAS 2 CALL LIGHTS IN THE SAME ROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    724960 JERON PROVIDER DUAL POWER STATION ILQ JERON

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR