FDA Adverse Event
Malfunction
Summary report: N
AFFINITY BED
MDR report key: 2130320
·
Received May 9, 2011
Report
- Report Number
- 1824206-2011-02598
- Event Type
- Malfunction
- Date Received
- May 9, 2011
- Date of Event
- April 14, 2011
- Report Date
- April 14, 2011
- Manufacturer
- HILL-ROM, INC.
- Product Code
- HDD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN REPLACED THE RIGHT HEAD BRAKE CASTER TO REPAIR THE BED.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE TEETH THAT KEEP THE CASTER FROM SWIVELING IN BRAKE WERE WORN. BRAKE NOT HOLDING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | AFFINITY BED | BIRTHING BED | HDD | HILL-ROM, INC. | 3600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |