FDA Adverse Event
Malfunction
Summary report: N
AFFINITY BED
MDR report key: 2253791
·
Received August 10, 2011
Report
- Report Number
- 1824206-2011-04220
- Event Type
- Malfunction
- Date Received
- August 10, 2011
- Date of Event
- July 14, 2011
- Report Date
- July 14, 2011
- Manufacturer
- HILL-ROM INC.
- Product Code
- HDD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NV, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE TECHNICIAN FOUND THE BRAKE AND BRAKE/STEER CASTERS WERE SWIVELING WHEN THE BRAKE WAS ENGAGED BUT THE CASTER WHEELS WERE NOT ROLLING. HE REPLACED THE BRAKE AND BRAKE/STEER CASTERS TO REPAIR THE BED.
Description of Event or Problem · 1
THE ACCOUNTS MAINTENANCE STATED THAT THE BRAKE PEDAL WILL NOT GO INTO BRAKE. IT SPONGES BACK OUT.
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 |