BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AFFINITY THREE BIRTHING BED

    MDR report key: 3060492 · Received March 25, 2013

    Report

    Report Number
    1824206-2013-01659
    Event Type
    Malfunction
    Date Received
    March 25, 2013
    Date of Event
    February 25, 2013
    Report Date
    February 25, 2013
    Product Code
    HDD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE HILL-ROM TECHNICIAN REPLACED THE CASTERS TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATED THE CASTERS WOULD SWIVEL IN BRAKE MODE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    121274 AFFINITY THREE BIRTHING BED BIRTHING BED HDD 3700

    Patients

    Seq Age Sex Outcome Treatment
    1