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The device inspection and photo evidence showed that the left foot-end side rail of the citadel plus bed was damaged and partially detached from the bed frame.Screws securing the side rail to the bed frame had been pulled out, the side rail was bent, and the plastic cover concealing the side rail screws was found to be unglued.In the investigated complaint, the circumstances under which the equipment was damaged remain unknown.Based on the analysis of previous complaints and the conducted investigation, it is believed, that the most likely scenario is that the side rail detached (screws holding the panel to the metal plate had been pulled out, the side rail was bent, and the plastic cover concealing the side rail screws was found to be unglued) due to excessive external force applied.According to instruction for use citadel plus (ifu 831.374-en_15, 03/2026) safety sides shall be checked every day by a caregiver.If the malfunction is identified, arjo or qualified service personnel should be contacted.The side rail detached, therefore the arjo device did not meet the specification.The complaint was assessed as reportable due to the detachment of the side rail which can lead to a patient fall.There was no indication of the patient involvement.No injury was reported.
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