FDA.reportPublic FDA data

MAUDE MDR 9833104

MDR report key
9833104
Report number
1824206-2020-00114
Event key
0
Event type
3
Date of event
2020-03-05
Date received
2020-03-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
LORI DAULTON
Address
1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US
Phone
812-812-8129
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VERSACARE FRAMEBED, AC-POWERED ADJUSTABLE HOSPITALHILL-ROM BATESVILLEFNLP3200K000500Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-140

Event Narratives#

No narrative records found.