BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AIR SHIELD (HILL ROM)

    MDR report key: 338757 · Received June 11, 2001

    Report

    Report Number
    MW1022218
    Event Type
    Malfunction
    Date Received
    June 11, 2001
    Date of Event
    August 6, 2000
    Report Date
    June 7, 2001
    Manufacturer
    HILL ROM CO, INC.
    Product Code
    FMT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT ON RADIANT WARMER W/SKIN PROBE ON, WARMER'S ALARM DID NOT FUNCTION AND NOTIFY STAFF OF INCREASED TEMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    26683 AIR SHIELD (HILL ROM) INFANT WARMER FMT HILL ROM CO, INC. PM 78-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other