BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY

    MDR report key: 2112890 · Received May 25, 2011

    Report

    Report Number
    1824206-2011-02846
    Event Type
    Malfunction
    Date Received
    May 25, 2011
    Date of Event
    April 20, 2010
    Report Date
    April 20, 2010
    Manufacturer
    HILL-ROM, INC.
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    REPAIRS UNKNOWN.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES LOSS OF HEAD UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AFFINITY A/C POWERED ADJUSTABLE HOSPITAL BED HDD HILL-ROM, INC. P3600

    Patients

    Seq Age Sex Outcome Treatment
    1