BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY BED

    MDR report key: 2112911 · Received May 25, 2011

    Report

    Report Number
    1824206-2011-02890
    Event Type
    Malfunction
    Date Received
    May 25, 2011
    Date of Event
    May 4, 2011
    Report Date
    May 4, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES WHEN THE BRAKES WERE ENGAGED, THE FOOT CASTER DID NOT HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AFFINITY BED BIRTHING BED HDD HILL-ROM, INC. 3700

    Patients

    Seq Age Sex Outcome Treatment
    1