FDA Adverse Event
Malfunction
Summary report: N
AFFINITY 3
MDR report key: 1893814
·
Received October 29, 2010
Report
- Report Number
- 1824206-2010-10758
- Event Type
- Malfunction
- Date Received
- October 29, 2010
- Date of Event
- October 5, 2010
- Report Date
- October 5, 2010
- Manufacturer
- HILL-ROM INC.
- Product Code
- HDD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THAT THE POWER SUPPLY CONTACT WAS LOOSE ON THE UTV BOARD. HE RESEATED THIS CONNECTION AND THE NURSE CALL FUNCTIONED PROPERLY.
Description of Event or Problem · 1
THE TECHNICIAN DISCOVERED THE NURSE CALL WAS NOT WORKING WHILE HE WAS PERFORMING PREVENTIVE MAINTENANCE ON THE BED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | AFFINITY 3 | BIRTHING BED | HDD | HILL-ROM INC. | 3700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |