BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY 4

    MDR report key: 1070225 · Received June 30, 2008

    Report

    Report Number
    1824206-2008-02720
    Event Type
    Malfunction
    Date Received
    June 30, 2008
    Date of Event
    January 11, 2008
    Report Date
    January 11, 2008
    Manufacturer
    HILL-ROM RITTER
    Product Code
    HDD
    Removal / Correction Number
    Z-0617-2008
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE HILL-ROM FIELD INVESTIGATION INDICATED THE BRAKE PEDAL WOULD NOT STAY IN THE BRAKE POSITION. THE HILL-ROM FIELD TECH ADJUSTED THE CASTERS TO REPAIR THE BED. MOD 373 IS A FIELD CORRECTIVE ACTION WHICH REPLACES THE BRAKE DETENT MECHANISM AND ADJUSTS ALL FOUR CASTERS OF THE AFFINITY 4 BIRTHING BED. THIS FAILURE OCCURRED FOLLOWING THE CORRECTION OF THIS UNIT.

    Description of Event or Problem · 1

    BRAKE PEDAL WILL NOT STAY IN THE BRAKE POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AFFINITY 4 BIRTHING BED HDD HILL-ROM RITTER 3700B

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK