inforMED
MalfunctionIOY

SUPPORT ARM

Received Dec 6, 2012 · Event occurred Oct 26, 2012

Report 8010042-2012-00148 · MDR key 2870158

Device

Model number

NA

Catalog number

6481720

Lot number

NA

Product problems

  • Mechanical Problem

Patient

NI

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SUPPORT ARM GOT DISENGAGED FROM THE RAIL OF THE MOBILE CART AND STRUCK THE PT, BUT, THERE WAS NO PT HARM. (B)(4).

Additional Manufacturer Narrative

THE PART HAS BEEN REQUESTED BACK FOR INVESTIGATION BUT HAS NOT YET BEEN RECEIVED. (B)(4).