BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY BED

    MDR report key: 2161090 · Received July 5, 2011

    Report

    Report Number
    1824206-2011-03565
    Event Type
    Malfunction
    Date Received
    July 5, 2011
    Date of Event
    June 21, 2011
    Report Date
    June 21, 2011
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE ACCOUNT FOUND THE SIDERAIL MOUNTING BRACKET WAS BENT. HE STRAIGHTENED THE MOUNTING BRACKET TO REPAIR THE BED.

    Description of Event or Problem · 1

    THE ACCOUNT STATED THE SIDERAIL WILL NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AFFINITY BED AC-POWERED ADJUSTABLE HOSPITAL BED FNL HILL-ROM, INC. 3601

    Patients

    Seq Age Sex Outcome Treatment
    1