BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY THREE BIRTHING BED

    MDR report key: 2922667 · Received December 27, 2012

    Report

    Report Number
    1824206-2012-08640
    Event Type
    Malfunction
    Date Received
    December 27, 2012
    Date of Event
    December 12, 2012
    Report Date
    December 12, 2012
    Manufacturer
    HILL-ROM, INC.
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECHNICIAN FOUND THE SIDERAIL CENTER ARM WAS BROKEN AND THE MOUNTING BRACKET BENT. THE TECHNICIAN INDICATED IT LOOKS AS THOUGH THE SIDERAIL ABUSED. THE TECHNICIAN REPLACED THE SIDERAIL CENTER ARM AND MOUNTING BRACKET TO REPAIR THE BED.

    Description of Event or Problem · 1

    INFORMATION RECEIVED INDICATES THE SIDERAIL IS BROKEN OFF OF THE BED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1