BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FAIRFIELD MEDICAL HEAD RAIL SYSTEM

    MDR report key: 84549 · Received July 3, 1996

    Report

    Report Number
    84549
    Event Type
    Malfunction
    Date Received
    July 3, 1996
    Date of Event
    April 28, 1996
    Report Date
    May 30, 1996
    Manufacturer
    MEDAES INCORPORATED
    Product Code
    FNJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ON 4/28/96 AN AIR OUTLET BROKE OFF THE HEAD RAIL AFTER BEING HIT BY A BED THAT WAS BEING MOVED INTO PLACE. ALTHOUGH THE OUTLET WAS NOT ATTACHED TO THE PT, REPAIR WORK CAUSED THE FLOOR TO BE WITHOUT AIRFLOW FOR TWENTY FIVE MINUTES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FAIRFIELD MEDICAL HEAD RAIL SYSTEM HEAD RAIL FOR MEDICAL GAS OUTLET FNJ MEDAES INCORPORATED * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other