inforMED
MalfunctionILJ

SYSTEM 2000

Received Nov 23, 2012 · Event occurred Nov 2, 2012

Report 9611530-2012-00205 · MDR key 2910186

Device

Generic name

Bath Systems

Model number

AR33212-US

Product problems

  • Unstable

Patient

Not reported

  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH, INC. ON BEHALF OF THE MANUFACTURER ARJO (B)(4). ADDITIONAL INFORMATION WILL BE PROVIDED UPON CONCLUSION OF THE MANUFACTURER¿S INESTIGATION.

Description of Event or Problem

AS STATED BY THE CUSTOMER (B)(6) 2012: RHAPSODY, COMPLAINT OF TUB UNSTABLE WHEN FULL. FOUND LOOSE LEG MOUNTING BOLT. REMOVE AND REINSTALL WITH LOCTITE, CHECK OTHER MOUNTING BOLTS. TEST WITH FULL OF WATER, OK.