BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    634 AFFINITY BED

    MDR report key: 1945951 · Received December 28, 2010

    Report

    Report Number
    1824206-2010-11916
    Event Type
    Malfunction
    Date Received
    December 28, 2010
    Date of Event
    December 7, 2010
    Report Date
    December 7, 2010
    Manufacturer
    HILL-ROM INC.
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    TECHNICIAN FOUND THAT THE BRAKE CASTER WAS OUT OF ADJUSTMENT. HE ADJUSTED THE CASTER AND THE BRAKES FUNCTIONED PROPERLY.

    Description of Event or Problem · 1

    TECHNICIAN FOUND THAT WHEN THE BRAKES WERE ENGAGED THE FOOT CASTER DID NOT HOLD. NO ALLEGED INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 634 AFFINITY BED BIRTHING BED HDD HILL-ROM INC. 3600

    Patients

    Seq Age Sex Outcome Treatment
    1