FDA Adverse Event Malfunction Summary report: N

AFFINITY 4

MDR report key: 2151283 · Received June 7, 2011

Report

Report Number
1824206-2011-03138
Event Type
Malfunction
Date Received
June 7, 2011
Date of Event
May 13, 2011
Report Date
May 13, 2011
Manufacturer
HILL-ROM, INC.
Product Code
HDD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A NEW BRAKE DETENT ASSEMBLY WAS INSTALLED AND THE BRAKE FUNCTION IS WORKING PROPERLY.

Description of Event or Problem · 1

INFORMATION RECEIVED INDICATES THE BRAKE DETENT ASSEMBLY IS BROKEN AND THE BRAKES WILL NOT HOLD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AFFINITY 4 BIRTHING BED HDD HILL-ROM, INC. 3700B

Patients

Seq Age Sex Outcome Treatment
1