BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY 3

    MDR report key: 2033844 · Received March 23, 2011

    Report

    Report Number
    1824206-2011-01804
    Event Type
    Malfunction
    Date Received
    March 23, 2011
    Date of Event
    March 1, 2011
    Report Date
    March 1, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH REPAIRED A FAULTY CONNECTION ON THE LEFT SIDERAIL INNER PRINTED CIRCUIT BOARD TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT ALLEGED THE HEAD REST IS GOING UP ON ITS OWN.

    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